Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mary Eva Pelrine death at Halifax, Halifax County on September 26, 1971
Female Death Registration: Year: 1971 number: 5706
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005706
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution St. Vincent Guest House
3. PRINT NAME OF DECEASED Pelrine, Mary Eva
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE New Brunswick
9. DATE OF BIRTH 2 12, 1893
10. AGE in Years78 Months7 Days14 | hrs or mins
11. Trade or profession Housekeeper
12. Kind of industry housekeeping
13. Date last worked Jan 1970 14. Total years life
15. If married name of spouse Fred Pelrine (Deceased)
16. NAME of Father Marcin Sanoie
17. BIRTHPLACE New Brunswick
18. NAME of Mother Philomene Landry
19. BIRTHPLACE New Brunswick
20. Signature of Informant Mrs. Mary McMurrer
address 41 Farrell St. Dartmouth
Relationship to deceased Daughter
21. Place of burial Gate of Heaven, Lower Sackville
Date of burial Sept 28, 1971
22. Undertaker Dart. Funeral Home; F.A. McDonald
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 26, 1971
CAUSE OF DEATH
(a) Lobar Pneumonia
(b)
(c)
other Arteriosclerotic Heart disease
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