Male Death Registration: Year: 1970 number: 1190
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001190
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
3. PRINT NAME OF DECEASED Thibault, John Conrad
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Little Brook
9. DATE OF BIRTH 7 12, 1917
10. AGE in Years52 Months6 Days2 | hrs or mins
11. Trade or profession Robert Moore's
12. Kind of industry Corp
13. Date last worked 1969 14. Total years 30
15. If married name of spouse Lena Deveau
16. NAME of Father Dr Sifferroi Thibault
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Marie Lombard
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Lena Thibault
address 3125 Gotting St, Halifax
Relationship to deceased Wife
21. Place of burial Gate of Heaven
Date of burial Jan 16, 1970
22. Undertaker Lindsay's Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 14, 1970
CAUSE OF DEATH
(a) Con Pulmonale
(b) Right and Left Ventricular Decompensation
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486504
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