Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Levinia Marie Amirault death at Berwick, Kings County on July 28, 1971
Female Death Registration: Year: 1971 number: 5153
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005153
1. PLACE OF DEATH County of Kings If in City or Town Berwick
If death occured in a hospital or institution Grand View Manor
3. PRINT NAME OF DECEASED Amirault, Levinia Marie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 6, 1894
10. AGE in Years76 Months8 Days22 | 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 Hypolite Surette
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Frances Amirault
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Leonard J. Amiro
address 126 Albion St., Somerville, Mass., U.S.A.
Relationship to deceased Son
21. Place of burial Saulnierville
Date of burial July 31, 1971
22. Undertaker Meteghan Funeral Service Ltd. Meteghan, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 28, 1971
CAUSE OF DEATH
(a) Myocardial infarction
(b) Arteriosclerotic Heart Disease
(c)
other Corticobasal syndrome
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