Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charlotte Catherine Gagnon death at Inverness, Inverness County on November 26, 1970
Female Death Registration: Year: 1970 number: 7679
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007679
1. PLACE OF DEATH County of Inverness If in City or Town Inverness
If death occured in a hospital or institution St. Marys Hospital
3. PRINT NAME OF DECEASED Gagnon, Charlotte Catherine
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Welsh
7. Single, Married
married
8. BIRTHPLACE Port Hawkesbury
9. DATE OF BIRTH 6 1, 1901
10. AGE in Years69 Months5 Days25 | hrs or mins
11. Trade or profession
12. Kind of industry invalid
13. Date last worked 14. Total years
15. If married name of spouse C.H. Gagnon
16. NAME of Father J.J. Williams
17. BIRTHPLACE Port Tupper
18. NAME of Mother Mamie Embrel
19. BIRTHPLACE Port Hawkesbury
20. Signature of Informant Graeme Gagnon
address P.O. Box 506 Port Hawkesbury
Relationship to deceased son
21. Place of burial Port Hawkesbury
Date of burial Nov. 28, 1970
22. Undertaker Thompson & Haverstock Funeral Home Port Hawkesbury
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 26, 1970
CAUSE OF DEATH
(a) Cerebral hemorrhage
(b) arteriosclerosis
(c)
other
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