Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Catherin Pellerin death at Larry's River, Guysborough County on October 2, 1970
Female Death Registration: Year: 1970 number: 6048
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006048
1. PLACE OF DEATH County of Guysborough If in City or Town Larry's River
3. PRINT NAME OF DECEASED Pellerin, Catherin
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Larry's River
9. DATE OF BIRTH 2 5, 1876
10. AGE in Years94 Months7 Days27 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked October 1, 1970 14. Total years
15. If married name of spouse
16. NAME of Father Fred Pellerin
17. BIRTHPLACE Larry's River
18. NAME of Mother Margaret Richard
19. BIRTHPLACE Charlos Cove
20. Signature of Informant Mrs. Willie Avery
address Larry's River
Relationship to deceased Niece
21. Place of burial Larry's River
Date of burial October 4, 1970
22. Undertaker Nathan Rhynold, Philips Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 2, 1970
CAUSE OF DEATH
(a) Pneumonia
(b) General debility
(c) due to extreme age
other Acute gastritis, possible obstruction
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