Female Death Registration: Year: 1971 number: 1460
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001460
1. PLACE OF DEATH County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution St. Elizabeth Hospital
3. PRINT NAME OF DECEASED Lemoine, Jennie Irene
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 5, 1903
10. AGE in Years67 Months5 Days28 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry Housekeeping
13. Date last worked Jan.28/71 14. Total years 45
15. If married name of spouse Rupert Oluett LeMoine
16. NAME of Father William Johnston
17. BIRTHPLACE Scotland
18. NAME of Mother Lavinia Allen
19. BIRTHPLACE U.S.A.
20. Signature of Informant Roy LeMoine
address RR1, North Sydney
Relationship to deceased Son
21. Place of burial Lakeside Cemetery, North Sydney
Date of burial February 5, 1971
22. Undertaker Fillmore & Whitman Funeral Home Ltd., North Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 2, 1971
CAUSE OF DEATH
(a) Cardiac Failure
(b) Myocardial Infarct
(c) CAHD with ?angina
other Diabetes Mellitus
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493538
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