Female Death Registration: Year: 1971 number: 7391
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007391
1. PLACE OF DEATH County of Digby If in City or Town Tiddville
3. PRINT NAME OF DECEASED Theriault, Faye Marlene
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Digby
9. DATE OF BIRTH 5 6, 1957
10. AGE in Years14 Months7 Days17 | hrs or mins
11. Trade or profession Student
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father George Theriault
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Sylvia Banks
19. BIRTHPLACE Nova Scotia
20. Signature of Informant George Theriault
address East Ferry
Relationship to deceased Father
21. Place of burial East Ferry
Date of burial December 26, 1971
22. Undertaker Jaynes Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 23, 1971
CAUSE OF DEATH
(a) Fracture of base of skull including pituitary fona - massive laceration of liver
(b) massive hemorrhage
(c)
other Accident - 2 car collision extensive injuries as above
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499463
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