Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Anna Mary Patriquin death at Amherst, Cumberland County on September 24, 1970
Female Death Registration: Year: 1970 number: 6167
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006167
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Patriquin, Anna Mary
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Amherst
9. DATE OF BIRTH 10 9, 1896
10. AGE in Years73 Months11 Days15 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry House keeping
13. Date last worked 1970 14. Total years 50
15. If married name of spouse Pearly A Patriquin
16. NAME of Father William Cormier
17. BIRTHPLACE New Brunswick
18. NAME of Mother Dometille LeBlanc
19. BIRTHPLACE Memramcook, New Brunswick
20. Signature of Informant Audrey Rand
address 6056 South St, Apt 4, Halifax
Relationship to deceased Daughter
21. Place of burial St Charles Cemetery, Amherst
Date of burial 26 Sept 1970
22. Undertaker Campbell's Funeral Home, Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 24, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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