Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Harley Douglas Dauphinee death at East Chester, Lunenburg County on June 14, 1970

Male Death Registration: Year: 1970 number: 3879

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 003879

1. PLACE OF DEATH   County of Lunenburg If in City or Town East Chester

3. PRINT NAME OF DECEASED Dauphinee, Harley Douglas

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

French

7. Single, Married

married

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 8  8, 1934

10. AGE in  Years35  Months10  Days6 | hrs or mins

11. Trade or profession Technical Producer

12. Kind of industry C.J.C.H.

13. Date last worked June 13, 1970       14. Total years

15. If married name of spouse Catherine Dauphinee

16. NAME of Father Oliver  Dauphinee

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Dorothy  Awalt

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Catherine Dauphinee

      address East Chester, N,S,

      Relationship to deceased Wife

21. Place of burial Chester

      Date of burial June 16th. 1970

22. Undertaker Davis Funeral Home, Chester.

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH June 14, 1970

CAUSE OF DEATH

(a) Coronary Thrombosis

(b) Previous Coronary Thrombosis

(c) Arteriosclerotic Heart Disease

other

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