Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Rose Dellina Robichaud death at Halifax, Halifax County on October 2, 1971

Female Death Registration: Year: 1971 number: 5846

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005846

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 Robichaud, Rose Dellina

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

French

7. Single, Married

married

8. BIRTHPLACE Halifax

9. DATE OF BIRTH 12  21, 1892

10. AGE in  Years78  Months9  Days11 | hrs or mins

11. Trade or profession Retired Housewife

12. Kind of industry At Home

13. Date last worked September 1970       14. Total years 60 years

15. If married name of spouse Mr Peter Robichaud

16. NAME of Father Thomas  Aucoin

17. BIRTHPLACE Cheticamp, Inverness Co., Cape Breton

18. NAME of Mother Charlotte LeBlanc

19. BIRTHPLACE River Bourgeois, Richmond Co., Cape Breton

20. Signature of Informant Mr Leo Robichaud

      address 3147 Robie Street Halifax N S

      Relationship to deceased Son

21. Place of burial Gate of Heaven. Lower Sackville N S

      Date of burial 5 October 1917

22. Undertaker Crukshank Funeral Home

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH October 2, 1971

CAUSE OF DEATH

(a) Congestive Heart Failure

(b) Myocardial Infarction

(c) Coronary Artery Disease

other Arterial Occlusion of Right Lower Limb

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