Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Alfred Joseph Cormier death at Amherst, Cumberland County on April 14, 1971
Male Death Registration: Year: 1971 number: 2894
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002894
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution 18 Cornwall
3. PRINT NAME OF DECEASED Cormier, Alfred Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Parrsboro
9. DATE OF BIRTH 10 22, 1901
10. AGE in Years69 Months5 Days23 | hrs or mins
11. Trade or profession Retired labourer
12. Kind of industry foundry
13. Date last worked 1945 14. Total years 20
15. If married name of spouse Marie Edna Cormier
16. NAME of Father Alfred Cormier Sr.
17. BIRTHPLACE Memramcook, N.B.
18. NAME of Mother Josephine St.Peter
19. BIRTHPLACE Memramcook, N.B.
20. Signature of Informant Mrs. Edna Cormier
address 18 Cornwall St., Amherst
Relationship to deceased wife
21. Place of burial Amherst
Date of burial Spring burial
22. Undertaker Campbell's Funeral Home, Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 14, 1971
CAUSE OF DEATH
(a) Pulmonary Embolism
(b) Carcinoma of bronchus
(c) post radiation
other
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