Female Death Registration: Year: 1971 number: 3012
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003012
1. PLACE OF DEATH County of Cape If in City or Town Sydney
If death occured in a hospital or institution Spring Garden Villa
3. PRINT NAME OF DECEASED Petipas, Julia
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Descousse, Rich. County
9. DATE OF BIRTH 1 5, 1877
10. AGE in Years94 Months3 Days3 | 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 Jeffrey Miller
17. BIRTHPLACE West Arichat, Rich. Co.
18. NAME of Mother Elizabeth Bonin
19. BIRTHPLACE Descousse, Rich. Co.
20. Signature of Informant Leonard Bona
address Descousse, Rich. Co.
Relationship to deceased Son
21. Place of burial Descousse
Date of burial April 12, 1971
22. Undertaker C Boncher, Arichat, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 8, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Arteriosclerosis
(c) with Cardiac Disease
other Diabetes
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495088
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