Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Francoise Stephanie Amirault death at Yarmouth, Yarmouth County on August 6, 1971
Female Death Registration: Year: 1971 number: 5419
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005419
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional Hospital
3. PRINT NAME OF DECEASED Amirault, Francoise Stephanie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE West Pubnico, Yar. County
9. DATE OF BIRTH 7 5, 1887
10. AGE in Years84 Months1 Days1 | 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 Edmond E. Amirault
16. NAME of Father Ambroise d'Entremont
17. BIRTHPLACE Middle West Pubnico, Yar. Co.
18. NAME of Mother Elizabeth Richard
19. BIRTHPLACE Wedgeport, Yar. Co.
20. Signature of Informant Ambroise Amirault
address Lower West Pubnico, Yar. Co.
Relationship to deceased Son
21. Place of burial West Pubnico Cemetery
Date of burial August 9, 1971
22. Undertaker West Pubnico Funeral Ser.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 6, 1971
CAUSE OF DEATH
(a) Acute pancreatitis
(b)
(c)
other Old valvular Heart Disease
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