Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Marguerite M. Furlotte death at Halifax, Halifax County on November 27, 1970
Female Death Registration: Year: 1970 number: 6921
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006921
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution on Morris St
3. PRINT NAME OF DECEASED Furlotte, Marguerite M.
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Jacquet River, New Brunswick
9. DATE OF BIRTH 10 14, 1898
10. AGE in Years72 Months1 Days13 | hrs or mins
11. Trade or profession Housework
12. Kind of industry At Home
13. Date last worked Nov 27, 1970 14. Total years 50
15. If married name of spouse Simon D. Furlotte
16. NAME of Father Joseph Laviolette
17. BIRTHPLACE New Brunswick
18. NAME of Mother Ellen M. Dempsey
19. BIRTHPLACE New Brunswick
20. Signature of Informant David A. Furlotte
address PO Box 341, Kentville
Relationship to deceased Son
21. Place of burial Gate of Heaven Cemetery, Lr Sackville
Date of burial Dec 1, 1970
22. Undertaker Halifax Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 27, 1970
CAUSE OF DEATH
(a) Multiple Injuries
(b) Car - Pedestrian Accident
(c)
other Accident
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