Male Death Registration: Year: 1970 number: 3919
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003919
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Paquette, John Percival
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Magdelen Islands
9. DATE OF BIRTH 1 4, 1895
10. AGE in Years75 Months5 Days18 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Carpenter
13. Date last worked 1960 14. Total years Life
15. If married name of spouse Evelyn Paquette (deceased)
16. NAME of Father Dalis Paquette
17. BIRTHPLACE Prince Edward Island
18. NAME of Mother Margaret McCade
19. BIRTHPLACE Prince Edward Island
20. Signature of Informant Mrs. Louis Walsh
address 3 Auburn Drive, (Spryfield), Halifax
Relationship to deceased Daughter
21. Place of burial Gate of Heaven, Lr Sackville
Date of burial June 25, 1970
22. Undertaker Cruikshank Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 22, 1970
CAUSE OF DEATH
(a) Paralytic Ileus
(b) Cerebrovascular accident 1969
(c) Cerebral arteriosclerosis
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489229
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