Male Death Registration: Year: 1970 number: 4190
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004190
1. PLACE OF DEATH County of Halifax If in City or Town Cole Harbour
If death occured in a hospital or institution Bissett's Lake
3. PRINT NAME OF DECEASED Bird, Raymond Carmen
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Springhill
9. DATE OF BIRTH 4 15, 1953
10. AGE in Years17 Months2 Days13 | hrs or mins
11. Trade or profession Mentally Infirm
12. Kind of industry Confined to Rehabilitation Section of Mental Hospital
13. Date last worked June 28, 1970 14. Total years 1 1/2
15. If married name of spouse
16. NAME of Father Charles Herbert Bird
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Margaret Christina Chambers
19. BIRTHPLACE Springhill
20. Signature of Informant Mrs Sylvia Embree
address 100 1/2 Junction Rd, Springhill
Relationship to deceased Sister
21. Place of burial Mapleton, Cumberland County
Date of burial July 2 1970
22. Undertaker A.H. Brown Funeral Service Ltd., Springhill
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 28, 1970
CAUSE OF DEATH
(a) Asphyxiation
(b) Drowning
(c)
other Suicide - found in Lake
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489499
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