Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Donalda Marie Poirier death at Sydney, Cape Breton County on August 25, 1971

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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