Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charlotte Agnes Richard death at Guysborough, Guysborough County on February 25, 1971
Female Death Registration: Year: 1971 number: 2154
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002154
1. PLACE OF DEATH County of Guysborough If in City or Town Guysborough
If death occured in a hospital or institution Guysboro Memorial Hospital
3. PRINT NAME OF DECEASED Richard, Charlotte Agnes
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Charlos Cove
9. DATE OF BIRTH 10 25, 1885
10. AGE in Years85 Months4 Days | hrs or mins
11. Trade or profession Pensioner
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Henry Benoit
17. BIRTHPLACE Havre Boucher
18. NAME of Mother Mary Victoria Decoste
19. BIRTHPLACE Havre Boucher
20. Signature of Informant Leo B. Richard
address Charlos Cove
Relationship to deceased Son-in-law
21. Place of burial Charlos Cove
Date of burial Feb 27, 1971
22. Undertaker Nathan Rhynold, Philips Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 25, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b)
(c)
other
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