Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Alfred William Theriault death at Halifax, Halifax County on January 10, 1970
Male Death Registration: Year: 1970 number: 1195
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001195
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution IWK Hospital
3. PRINT NAME OF DECEASED Theriault, Alfred William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 12 17, 1969
10. AGE in Years Months Days24 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Arthur Joseph Theriault
17. BIRTHPLACE Antigonish County
18. NAME of Mother Yvonne E French
19. BIRTHPLACE Prince Edward Island
20. Signature of Informant Arthur Theriault
address R. R. #3 Maryvale
Relationship to deceased Father
21. Place of burial St. Mary’s R. C. Cemetery
Date of burial Jan. 13, 1970
22. Undertaker Curry’s Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 10, 1970
CAUSE OF DEATH
(a) Congenital Heart Disease
(b)
(c)
other Meningitis
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