Female Death Registration: Year: 1970 number: 6143
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006143
1. PLACE OF DEATH County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution North Sydney
3. PRINT NAME OF DECEASED Simard, Marie Louise
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Quebec
9. DATE OF BIRTH 8 12, 1883
10. AGE in Years Months Days | hrs or mins
11. Trade or profession Housewife
12. Kind of industry At home
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Octave Racine
17. BIRTHPLACE Quebec
18. NAME of Mother Genevieve Lavoie
19. BIRTHPLACE Quebec
20. Signature of Informant France Bouchard
address North Sydney
Relationship to deceased Granddaughter
21. Place of burial Holy Cross, North Sydney
Date of burial October 14, 1970
22. Undertaker W.J. Dooley Funeral Service Ltd., North Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 11, 1970
CAUSE OF DEATH
(a) Severe cardiopulmonary failure
(b) High blood pressure, arteritis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491450
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