Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Simon Francis Walsh death at Havre Boucher, Antigonish County on August 28, 1970
Male Death Registration: Year: 1970 number: 5358
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005358
1. PLACE OF DEATH County of Antigonish If in City or Town Havre Boucher
3. PRINT NAME OF DECEASED Walsh, Simon Francis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 3, 1970
10. AGE in Years58 Months10 Days25 | hrs or mins
11. Trade or profession Disabled
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Thomas Daniel Walsh
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Laura Fenton
19. BIRTHPLACE Nova Scotia
20. Signature of Informant F L Curry for Christina Baggs
address Antigonish
Relationship to deceased None
21. Place of burial St Andrew's R C Cemetery, St Andrew's
Date of burial September 2, 1970
22. Undertaker Curry Bros Funeral Directors Ltd, Antognish
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 28, 1970
CAUSE OF DEATH
(a) Coronary thrombosis
(b)
(c)
other
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