Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Katherine Sharon Jacquard death at Digby, Digby County on September 3, 1970
Female Death Registration: Year: 1970 number: 5767
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005767
1. PLACE OF DEATH County of Digby If in City or Town Digby
If death occured in a hospital or institution Home for Children
3. PRINT NAME OF DECEASED Jacquard, Katherine Sharon
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Yarmouth
9. DATE OF BIRTH 9 11, 1955
10. AGE in Years14 Months11 Days23 | hrs or mins
11. Trade or profession student
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Paul Jacquard
17. BIRTHPLACE Belleville
18. NAME of Mother Margaret Rose Muise
19. BIRTHPLACE Yarmouth
20. Signature of Informant Paul Jacquard
address 190Argyle St, Yarmouth
Relationship to deceased father
21. Place of burial Our Lady of Calvary Cemetery, Yarmouth
Date of burial September 5, 1970
22. Undertaker Huskilsons Funeral Home, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 3, 1970
CAUSE OF DEATH
(a) Bilateral pulmonary atelactasis
(b) Massive gaseous distension of stomach and bowel
(c) congenital defect of abdomen and thorax
other mental retardation and small heart
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