Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Eva Cormier death at Halifax, Halifax County on November 14, 1971
Female Death Registration: Year: 1971 number: 6682
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006682
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 Cormier, Eva
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Summerside, Prince Edward Island
9. DATE OF BIRTH 2 11, 1929
10. AGE in Years42 Months9 Days3 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 1971 14. Total years
15. If married name of spouse Alfred Cormier
16. NAME of Father Nichols Perry
17. BIRTHPLACE Prince Edward Island
18. NAME of Mother Josephine Perry
19. BIRTHPLACE Prince Edward Island
20. Signature of Informant Mr. Alfred Cormier
address Commons Street, Summerside, PEI
Relationship to deceased Husband
21. Place of burial Summerside, Prince Edward Island
Date of burial November 16 1971
22. Undertaker Mattatall's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 14, 1971
CAUSE OF DEATH
(a) Mitral Stenosis Regurgitation
(b) Rheumatic Heart Disease
(c)
other
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