Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

John Lewis Iyoupe death at Halifax, Halifax County on April 28, 1970

Male Death Registration: Year: 1970 number: 3053

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 003053

1. PLACE OF DEATH   County of Halifax If in City or Town Halifax

3. PRINT NAME OF DECEASED Iyoupe, John Lewis

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

Syrian

7. Single, Married

single

8. BIRTHPLACE New Cornwall

9. DATE OF BIRTH 10  23, 1948

10. AGE in  Years21  Months6  Days5 | hrs or mins

11. Trade or profession Laborer

12. Kind of industry Demolition Const.

13. Date last worked April 28, 1970       14. Total years

15. If married name of spouse

16. NAME of Father Allie  Iyoupe

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Lillian  Saulnier

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Lilian Iyoupe

      address 5449 Inglis St Halifax

      Relationship to deceased Mother.

21. Place of burial New Cornwall (Cemetery)

      Date of burial May 1, 1970

22. Undertaker

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH April 28, 1970

CAUSE OF DEATH

(a) Multiple Injuries

(b) Crushing Injury

(c)

other

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