Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Anna Jane Poirier death at Arichat, Richmond County on November 5, 1970

Female Death Registration: Year: 1970 number: 6623

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 006623

1. PLACE OF DEATH   County of Richmond If in City or Town Arichat
If death occured in a hospital or institution St. Ann Hospital

3. PRINT NAME OF DECEASED Poirier, Anna Jane

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

French

7. Single, Married

married

8. BIRTHPLACE D'Escousseunty

9. DATE OF BIRTH 10  9, 1889

10. AGE in  Years81  Months  Days27 | hrs or mins

11. Trade or profession Pentioner

12. Kind of industry

13. Date last worked       14. Total years

15. If married name of spouse Simon H. Poirier

16. NAME of Father John Boudreau

17. BIRTHPLACE Descousse

18. NAME of Mother Jenora Langlois

19. BIRTHPLACE Descousse

20. Signature of Informant Simon H. Poirier

      address Descousse

      Relationship to deceased Husband

21. Place of burial Descousse

      Date of burial Nov. 8, 1970

22. Undertaker C.A. Boucher's Funeral Home

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH November 5, 1970

CAUSE OF DEATH

(a) Cancer of Stomach

(b) Multiple Metasteses

(c)

other

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