Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Frederick William Archibald death at Melford, Inverness County on June 2, 1970
Male Death Registration: Year: 1970 number: 3562
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003562
1. PLACE OF DEATH County of Inverness If in City or Town Melford
If death occured in a hospital or institution on highway 105
3. PRINT NAME OF DECEASED Archibald, Frederick William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 2 11, 1950
10. AGE in Years20 Months3 Days22 | hrs or mins
11. Trade or profession Construction
12. Kind of industry
13. Date last worked 1 June 70 14. Total years 2
15. If married name of spouse
16. NAME of Father William Archibald.
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Shirley Smith
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Wm Archibald
address Middle Musquodoboit
Relationship to deceased Father
21. Place of burial Higginsville
Date of burial 4 Jun, 1970
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 2, 1970
CAUSE OF DEATH
(a) Fractured Cervical Spine
(b) Anterior rib cage fractures
(c) large scalp laceration posterior
other Auto accident
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