Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Louise Evangeline Amirault death at Yarmouth, Yarmouth County on March 10, 1971
Female Death Registration: Year: 1971 number: 2188
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002188
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional Hospital
3. PRINT NAME OF DECEASED Amirault, Louise Evangeline
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE West Pubnico, Yar. County
9. DATE OF BIRTH 3 5, 1883
10. AGE in Years88 Months Days5 | hrs or mins
11. Trade or profession Seamstress
12. Kind of industry
13. Date last worked 1960 14. Total years 60 yrs
15. If married name of spouse
16. NAME of Father Pierre E. Amirault
17. BIRTHPLACE West Pubnico, Yar. Co.
18. NAME of Mother Monique Bourque
19. BIRTHPLACE St Anne de Ruisseau
20. Signature of Informant Sarah Amirault
address West Pubnico
Relationship to deceased Sister-in-law
21. Place of burial West Pubnico Cemetery
Date of burial March 13, 1971
22. Undertaker West Pubnico Funeral Ser.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 10, 1971
CAUSE OF DEATH
(a) Massive pulmonary embolus
(b) Arteriosclerotic cardio-vascular disease
(c)
other CVA; tumour of stomach
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