Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Marie Therese Jacquard death at Yarmouth, Yarmouth County on December 8, 1971
Female Death Registration: Year: 1971 number: 7609
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007609
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Jacquard, Marie Therese
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Belleville, Yarmouth County
9. DATE OF BIRTH 8 5, 1887
10. AGE in Years84 Months4 Days3 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Robert Jacquard
16. NAME of Father Pierre Lefave
17. BIRTHPLACE Belleville, Yarmouth Co.
18. NAME of Mother Catherine Meuse
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Gilbert Jacquard
address Comeau's Hill, Yarmouth Co.
Relationship to deceased Son
21. Place of burial Comeau's Hill, Yarmouth Co.
Date of burial 11 December 1971
22. Undertaker Sweeny's Funeral Home, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 8, 1971
CAUSE OF DEATH
(a) Cardio Renal
(b) Arteriosclerosis
(c)
other
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