Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Elizabeth Forgeron death at Arichat, Richmond County on December 25, 1971
Female Death Registration: Year: 1971 number: 7433
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007433
1. PLACE OF DEATH County of Richmond If in City or Town Arichat
If death occured in a hospital or institution St. Ann's Hospital
3. PRINT NAME OF DECEASED Forgeron, Elizabeth
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE West Arichat
9. DATE OF BIRTH 11 13, 1890
10. AGE in Years81 Months1 Days12 | hrs or mins
11. Trade or profession Housewife
12. Kind of industry
13. Date last worked 30 years 14. Total years
15. If married name of spouse Alexander Forgeron
16. NAME of Father Thomas Basin
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Josephine Forgeron
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Percy Barron
address West Arichat
Relationship to deceased Daughter
21. Place of burial West Arichat Cemetery
Date of burial December 27, 1971
22. Undertaker Chez Gordon Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 25, 1971
CAUSE OF DEATH
(a) CVA
(b) Hypertension
(c) Pneumonia
other
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