Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Anne Marie Melanson death at Amiraults Hill, Yarmouth County on September 14, 1971
Female Death Registration: Year: 1971 number: 5667
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005667
1. PLACE OF DEATH County of Yarmouth If in City or Town Amiraults Hill
3. PRINT NAME OF DECEASED Melanson, Anne Marie
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Amirault Hill, Yarmouth County
9. DATE OF BIRTH 1 15, 1880
10. AGE in Years91 Months7 Days30 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked September 14, 1971 14. Total years
15. If married name of spouse
16. NAME of Father Peter Amirault
17. BIRTHPLACE Amiraults Hill, Yarmouth Co.
18. NAME of Mother Marguerite Muise
19. BIRTHPLACE Amiraults Hill, Yarmouth Co.
20. Signature of Informant Mrs. Margaret Johnson
address Amiraults Hill, Yarmouth Co.
Relationship to deceased Niece
21. Place of burial Amiraults Hill, Yarmouth Co., NS
Date of burial September 17, 1971
22. Undertaker H. M. Huskilson's Funeral Home, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 14, 1971
CAUSE OF DEATH
(a) Coronary occlusion
(b)
(c)
other
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