Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Helene Marie Collard death at Nictaux, Annapolis County on September 24, 1971

Female Death Registration: Year: 1971 number: 5862

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005862

1. PLACE OF DEATH   County of Annapolis If in City or Town Nictaux
If death occured in a hospital or institution residence, Nictaux

3. PRINT NAME OF DECEASED Collard, Helene Marie

4. Sex

Female

5. Citizenship

Canadian

6. Racial Origin

Belgian

7. Single, Married

widowed

8. BIRTHPLACE Belgium

9. DATE OF BIRTH 6  21, 1894

10. AGE in  Years77  Months3  Days3 | hrs or mins

11. Trade or profession housewife

12. Kind of industry

13. Date last worked September 1971       14. Total years life

15. If married name of spouse Camille Victorien Collard

16. NAME of Father  

17. BIRTHPLACE

18. NAME of Mother  

19. BIRTHPLACE

20. Signature of Informant Hanson C. Dowell

      address Middleton, Annapolis Co., NS

      Relationship to deceased

21. Place of burial Kingston, Kings Co., NS

      Date of burial September 27, 1971

22. Undertaker Warren T. Roop, Ltd. Middleton, NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH September 24, 1971

CAUSE OF DEATH

(a) unknown. presumed CVA or myocardial infarction

(b)

(c)

other Cerebral Atherosclerosis; hypertension

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