Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Elise d'Entremont death at Waterville, Kings County on January 8, 1971
Female Death Registration: Year: 1971 number: 1913
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001913
1. PLACE OF DEATH County of Kings If in City or Town Waterville
If death occured in a hospital or institution Kings County Hospital, Waterville
3. PRINT NAME OF DECEASED d'Entremont, Mary Elise
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Ste Anne du Ruisseau
9. DATE OF BIRTH 10 31, 1900
10. AGE in Years70 Months2 Days8 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1951 14. Total years
15. If married name of spouse Edmund J. d'Entremont
16. NAME of Father Joseph Surette
17. BIRTHPLACE Ste Anne du Ruisseau
18. NAME of Mother Sedulie Doucette
19. BIRTHPLACE New Edinburg
20. Signature of Informant Edmund J. d'Entremont
address Ste Anne du Ruisseau
Relationship to deceased Husband
21. Place of burial Ste Anne du Ruisseau
Date of burial 11 January 1971
22. Undertaker H. M. Huskilson's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 8, 1971
CAUSE OF DEATH
(a) Broncho Pneumonia
(b) A.S.C.V disease with myocardial disease
(c)
other Mesonephroma ovary; Pulmonary TB and [illegible]
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