Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Alvena Adelaid Demont death at Liverpool, Queens County on October 15, 1970
Female Death Registration: Year: 1970 number: 6354
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006354
1. PLACE OF DEATH County of Queens If in City or Town Liverpool
If death occured in a hospital or institution Queens General Hospital
3. PRINT NAME OF DECEASED Demont, Alvena Adelaid
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE East Port L'Hebert
9. DATE OF BIRTH 12 3, 1877
10. AGE in Years92 Months10 Days12 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Housewife
13. Date last worked 1965 14. Total years
15. If married name of spouse James Dra Demont
16. NAME of Father John Taylor Hansen
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Augusta Boutilier
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Archie Broome
address R.R. #1 Port Mouton, Queens Co.
Relationship to deceased Daughter
21. Place of burial Port Mouton Queens Co.
Date of burial October 18, 1970
22. Undertaker Chandler's Funeral Service Ltd., Liverpool
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 15, 1970
CAUSE OF DEATH
(a) ASHD with Congestive Heart Failure
(b)
(c)
other
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