Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Martha Gosine death at Halifax, Halifax County on April 20, 1971
Female Death Registration: Year: 1971 number: 2865
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002865
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Civic Hospital
3. PRINT NAME OF DECEASED Gosine, Martha
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Lebanese
7. Single, Married
widowed
8. BIRTHPLACE Morent, Lebanon
9. DATE OF BIRTH 11 1, 1888
10. AGE in Years82 Months5 Days19 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry At home
13. Date last worked 1965 14. Total years 62 yrs
15. If married name of spouse William Y Gosine
16. NAME of Father Daniel Saab
17. BIRTHPLACE Lebanon
18. NAME of Mother Juamtsi DePasis
19. BIRTHPLACE Lebanon
20. Signature of Informant Frances Gosine
address 846 Bridges St. Halifax, NS
Relationship to deceased daughter
21. Place of burial Gates of Heaven, Lr. Sackville, NS
Date of burial April 23, 1971
22. Undertaker Halifax Funeral Home Ltd. Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 20, 1971
CAUSE OF DEATH
(a) Cerebrovascular Accident
(b)
(c)
other
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