Female Death Registration: Year: 1971 number: 5835
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005835
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Germaine, Mary Kathleen
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Culloden, Digby County
9. DATE OF BIRTH 10 8, 1926
10. AGE in Years44 Months11 Days21 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry House Keeping
13. Date last worked 1971 14. Total years
15. If married name of spouse William Germaine
16. NAME of Father Arthur Hersey
17. BIRTHPLACE NS
18. NAME of Mother Vesta VanTassel
19. BIRTHPLACE NS
20. Signature of Informant William Germaine
address Culloden, Digby Co., NS
Relationship to deceased Husband
21. Place of burial Culloden, Digby Co., NS
Date of burial 2 October 1971
22. Undertaker Jayne's Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 29, 1971
CAUSE OF DEATH
(a) Septicemia
(b) Total Colectomy
(c) Ulcerative Colitis
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497909
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