Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Marie Adele Claireaux death at Dartmouth, Halifax County on June 18, 1971
Female Death Registration: Year: 1971 number: 4040
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004040
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
3. PRINT NAME OF DECEASED Claireaux, Marie Adele
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE St. Pierre et Miquelon
9. DATE OF BIRTH 6 15, 1880
10. AGE in Years91 Months Days3 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry at home
13. Date last worked Jan. 1965 14. Total years life
15. If married name of spouse late Felix Claireaux
16. NAME of Father Louis LeClavier
17. BIRTHPLACE France
18. NAME of Mother Ursule Heote
19. BIRTHPLACE France
20. Signature of Informant Mrs. Madeleine M. Gully
address 5 Jamieson St., Dartmouth, NS
Relationship to deceased Daughter
21. Place of burial Gate of Heaven, Lower Sackville, Hfx. Co. NS
Date of burial June 21, 1971
22. Undertaker Dartmouth Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 18, 1971
CAUSE OF DEATH
(a) Acute Coronary Thrombosis
(b) Arteriosclerotic Heart Disease
(c)
other
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