Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Maude Doucett death at Yarmouth, Yarmouth County on January 7, 1971
Female Death Registration: Year: 1971 number: 1676
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001676
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Carcinoma Sigmoid Colon
3. PRINT NAME OF DECEASED Doucett, Maude
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Salem, Mass., U.S.A.
9. DATE OF BIRTH 4 7, 1884
10. AGE in Years86 Months9 Days | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Thomas Galvin
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Theresa White
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Walter Gaudet
address RR2, Weymouth
Relationship to deceased Daughter
21. Place of burial Corberrie
Date of burial January 10, 1971
22. Undertaker Weymouth Funeral Home Ltd., Box 24, Weymouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 7, 1971
CAUSE OF DEATH
(a)
(b)
(c)
other ASHD
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