Female Death Registration: Year: 1971 number: 1318
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001318
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Fougere, Gwendolyn Marie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
7. Single, Married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 9 23, 1925
10. AGE in Years45 Months4 Days2 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse David Fougere
16. NAME of Father Harold Kinsman
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Odessa Dauphinee
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Karen Riggs
address Windsor Junction, Halifax Co.
Relationship to deceased Daughter
21. Place of burial Hillcrest Memorial Gardens, Lower Sackville
Date of burial 28 January 1971
22. Undertaker Lindsays, Bedford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 25, 1971
CAUSE OF DEATH
(a) Renal Failure
(b) Septicemia
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493396
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