Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Robert Harold Bleasdale death at Conquerall Mills, Lunenburg County on May 23, 1970
Male Death Registration: Year: 1970 number: 3516
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003516
1. PLACE OF DEATH County of Lunenburg If in City or Town Conquerall Mills
If death occured in a hospital or institution On highway
3. PRINT NAME OF DECEASED Bleasdale, Robert Harold
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 25, 1953
10. AGE in Years17 Months0 Days28 | hrs or mins
11. Trade or profession Student
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Eric Bleasdale
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Lucille Smith
19. BIRTHPLACE Nova Scotia
20. Signature of Informant G. H. Smith
address 6308 North St., Halifax
Relationship to deceased Uncle
21. Place of burial Bridgewater
Date of burial May 26, 1970
22. Undertaker Charles Sweeny, B'water
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 23, 1970
CAUSE OF DEATH
(a) Multiple fractures of skull and facial bones with cerebral lacerations and contusions
(b)
(c)
other Car accident
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