Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Anne Cuvelier death at Halifax, Halifax County on November 9, 1971
Female Death Registration: Year: 1971 number: 6524
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006524
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary Hospital
3. PRINT NAME OF DECEASED Cuvelier, Anne
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Sheet Harbour
9. DATE OF BIRTH 8 20, 1890
10. AGE in Years81 Months2 Days20 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Daniel Cuvelier
16. NAME of Father James Wambolt
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Emmeline
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Basil Rogers
address 3690 High St. Halifax
Relationship to deceased Son-in-law
21. Place of burial Glen Margaret
Date of burial November 12, 1971
22. Undertaker Lindsays Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 9, 1971
CAUSE OF DEATH
(a) Respiratory Failure
(b) Pneumonia
(c)
other
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