Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Susanna Amelia Patriquin death at Pugwash, Cumberland County on September 13, 1970
Female Death Registration: Year: 1970 number: 5643
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005643
1. PLACE OF DEATH County of Cumberland If in City or Town Pugwash
If death occured in a hospital or institution (Sunrise Villa Nursing Home) Pugwash
3. PRINT NAME OF DECEASED Patriquin, Susanna Amelia
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 2 21, 1881
10. AGE in Years89 Months6 Days23 | hrs or mins
11. Trade or profession At Home
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father William Forsythe
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Sarah Brown
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Elmer Patriquin
address Wentworth
Relationship to deceased Son
21. Place of burial Wentworth
Date of burial Sept. 15, 1970
22. Undertaker Mattatall Funeral Home Truro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 13, 1970
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b)
(c)
other
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