Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Adelle Justine d'Entremont death at Middle East Pubnico, Yarmouth County on June 24, 1971

Female Death Registration: Year: 1971 number: 4313

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 004313

1. PLACE OF DEATH   County of Yarmouth If in City or Town Middle East Pubnico

3. PRINT NAME OF DECEASED d'Entremont, Adelle Justine

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

French

7. Single, Married

married

8. BIRTHPLACE Lower West Pubnico, Yar. County

9. DATE OF BIRTH 2  9, 1898

10. AGE in  Years73  Months4  Days15 | hrs or mins

11. Trade or profession

12. Kind of industry Housewife

13. Date last worked       14. Total years

15. If married name of spouse Ambroise A. d'Entremont

16. NAME of Father Joseph Remi d'Entremont

17. BIRTHPLACE Lower West Pubnico, Yar. Co.

18. NAME of Mother Annie d'Entremont

19. BIRTHPLACE Middle West Pubnico, Yar. Co.

20. Signature of Informant Ambroise A. d'Entremont

      address Middle East Pubnico

      Relationship to deceased Husband

21. Place of burial East Pubnico Cemetery

      Date of burial June 26, 1971

22. Undertaker West Pubnico Funeral Service

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH June 24, 1971

CAUSE OF DEATH

(a) Acute cerebral hemorrhage

(b) Arteriosclerosic Cardiovascular disease

(c) Chronic nephritis

other Hypertension; senility

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