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Ontario Death registration

36 DEATHS county of Glengarry division of Charlottenburg
surname of deceased Valade
christian name Osaline
sex female
age 58 years
date of death Oct 3rd 1916
place of birth Quebec
place of death St-Raphael West
place of burial St-Raphael West
occupation farmer's wife
single, married or widowed widowed
name of father Moses Valade
maiden name of mother
cause of death, if known hearth failure
name of physician E.J. Robinson
name of informant Ernest Valade
address St-Raphael West
date of return Oct 4th 1916

PHYSICIAN'S RETURN OF DEATH
surname of deceased Valade
christian name Osaline
date of death Oct 3rd 1916
DISEASE CAUSING DEATH heart failure
duration 2 days
immediate cause of death
duration
physician's name E.J. Robinson
address Williamstown
date of return Oct 4th 1916
remarks

I hereby certify the foregoing to be the true and correct entries of all deaths returned to me for the quarter ending........Oct 15th.......1916
given under my hand, this 18th day of October A.D. 1916
Division Registrar of Charlottenburg Watson Division registrar