Female Death Registration: Year: 1971 number: 5473
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005473
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St. Rita Hospital
3. PRINT NAME OF DECEASED Poirier, Donalda Marie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 8 21, 1971
10. AGE in Years Months Days | 2 hrs or 17 mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Donald J. Poirier
17. BIRTHPLACE Sydney
18. NAME of Mother Marylyn C. Brazil
19. BIRTHPLACE Sydney
20. Signature of Informant Donald J. Poirier
address 1699 George St., Sydney N.S.
Relationship to deceased Father
21. Place of burial Resurrection Cemetery, Sydney Forks, Cape Breton Co., NS
Date of burial August 26, 1971
22. Undertaker T. W. Curry Ltd., Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 25, 1971
CAUSE OF DEATH
(a) Respiratory Distress Syndrome
(b) Asphyxia neonatorum
(c)
other Prematurity
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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