Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Mary Adele Blanchard death at North Belleville, Yarmouth County on September 5, 1971

Female Death Registration: Year: 1971 number: 5422

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005422

1. PLACE OF DEATH   County of Yarmouth If in City or Town North Belleville

3. PRINT NAME OF DECEASED Blanchard, Mary Adele

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

French

7. Single, Married

widowed

8. BIRTHPLACE Belleville

9. DATE OF BIRTH 12  1, 1892

10. AGE in  Years78  Months9  Days4 | hrs or mins

11. Trade or profession Housewife

12. Kind of industry

13. Date last worked April /71       14. Total years

15. If married name of spouse

16. NAME of Father Aimable LeFave

17. BIRTHPLACE Belleville

18. NAME of Mother Margaret Miuse

19. BIRTHPLACE Belleville

20. Signature of Informant Mrs. Lucille Dulong

      address No. Belleville

      Relationship to deceased Daughter

21. Place of burial Ste Anne du Ruisseau

      Date of burial September 7, 1971

22. Undertaker H.M. Huskilson's Funeral Home, Yarmouth

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH September 5, 1971

CAUSE OF DEATH

(a) Cerebral Hemorrhage

(b) Arteriosclerosis

(c)

other Diabetes

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