Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Bertha Haskell death at Arichat, Richmond County on August 16, 1971
Female Death Registration: Year: 1971 number: 5182
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005182
1. PLACE OF DEATH County of Richmond If in City or Town Arichat
If death occured in a hospital or institution St. Ann Hospital
3. PRINT NAME OF DECEASED Haskell, Bertha
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE West Arichat, Rich. County
9. DATE OF BIRTH 4 21, 1897
10. AGE in Years74 Months3 Days26 | 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 Andrew LeBlanc
17. BIRTHPLACE West Arichat, Rich. Co.
18. NAME of Mother Marie Barbe DesLourier
19. BIRTHPLACE West Arichat, Rich. Co.
20. Signature of Informant Joseph Mury
address West Arichat, Rich. Co. NS
Relationship to deceased Executive of the Estate
21. Place of burial West Arichat, NS
Date of burial Aug. 18, 1971
22. Undertaker C A Boucher Funeral Home, Arichat, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 16, 1971
CAUSE OF DEATH
(a) Metastatic Carcinoma of lung
(b) Fracture head of left (illegible)
(c)
other
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