Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jeffery Cyr death at Pictou, Pictou County on June 26, 1970
Male Death Registration: Year: 1970 number: 4331
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004331
1. PLACE OF DEATH County of Pictou If in City or Town Pictou
3. PRINT NAME OF DECEASED Cyr, Jeffery
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Magdalen Islands
9. DATE OF BIRTH 6 4, 1910
10. AGE in Years60 Months Days22 | hrs or mins
11. Trade or profession Laborer
12. Kind of industry
13. Date last worked 14. Total years Life
15. If married name of spouse
16. NAME of Father Azade Cyr
17. BIRTHPLACE Magdelin Islands
18. NAME of Mother Marie Cheverie
19. BIRTHPLACE Magdalen Islands
20. Signature of Informant Mrs Patrick White
address Water St Pictou
Relationship to deceased Sister
21. Place of burial Stella Maris (Pictou)
Date of burial June 29, 1970
22. Undertaker McLaren Funeral Home Pictou
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 26, 1970
CAUSE OF DEATH
(a) Inhalation of Water due to Drowning
(b)
(c)
other Accident - fell from Wharf
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