Male Death Registration: Year: 1970 number: 5164
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005164
1. PLACE OF DEATH County of Richmond If in City or Town West Arichat
If death occured in a hospital or institution Standley Digden's Boarding House
3. PRINT NAME OF DECEASED Deslaurier, Edmond C.
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE West Arichat
9. DATE OF BIRTH 9 4, 1901
10. AGE in Years68 Months11 Days18 | hrs or mins
11. Trade or profession pentioner
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Joseph DesLaurier
17. BIRTHPLACE West Arichat
18. NAME of Mother Euginie Forest
19. BIRTHPLACE West Arichat
20. Signature of Informant Rev. A. Ducet
address West Arichat
Relationship to deceased Parish Priest
21. Place of burial West Arichat
Date of burial August 23, 1970
22. Undertaker C.A. Bauchy Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 22, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490472
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