Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Lottie Belle Theriault death at Halifax, Halifax County on April 16, 1971
Female Death Registration: Year: 1971 number: 2851
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002851
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Theriault, Lottie Belle
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Plympton, Digby County Nova Scotia
9. DATE OF BIRTH 11 27, 1884
10. AGE in Years86 Months4 Days20 | hrs or mins
11. Trade or profession Retired
12. Kind of industry House duties
13. Date last worked 12966 14. Total years Life
15. If married name of spouse Late Adolphe Theriault
16. NAME of Father Frank Comeau
17. BIRTHPLACE NS
18. NAME of Mother n/a n/a
19. BIRTHPLACE n/a
20. Signature of Informant Miss Lucille Theriault
address 6304 Willow St, Hfx.
Relationship to deceased daughter
21. Place of burial Gate of Heaven, Lr Sackville, NS
Date of burial April 19, 1971
22. Undertaker Cruickshank Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 16, 1971
CAUSE OF DEATH
(a) Obstruction of Esophagus
(b)
(c)
other
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