Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Martha Mary Surette death at Yarmouth, Yarmouth County on September 8, 1971
Female Death Registration: Year: 1971 number: 5425
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005425
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 Surette, Martha Mary
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Wedgeport
9. DATE OF BIRTH 2 26, 1890
10. AGE in Years81 Months6 Days10 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1949 14. Total years
15. If married name of spouse
16. NAME of Father Philippe Cottreau
17. BIRTHPLACE Wedgeport, NS
18. NAME of Mother Victoire Doucette
19. BIRTHPLACE Wedgeport, NS
20. Signature of Informant Albert J. Deveau
address 7 Seminary St., Yarmouth, NS
Relationship to deceased son-in-law
21. Place of burial Our Lady of Calvary, Yarmouth, NS
Date of burial Sept 11, 1971
22. Undertaker H.M. Huskilson Funeral Home, Yarmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 8, 1971
CAUSE OF DEATH
(a) Congestive heart failure
(b) Mitral stenosis
(c) Arteriosclerotic heart disease
other
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