Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Dell Brian Patriquin death at Oxford, Cumberland County on September 5, 1970
Male Death Registration: Year: 1970 number: 5639
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005639
1. PLACE OF DEATH County of Cumberland If in City or Town Oxford
3. PRINT NAME OF DECEASED Patriquin, Dell Brian
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Springhill
9. DATE OF BIRTH 12 26, 1954
10. AGE in Years15 Months8 Days10 | hrs or mins
11. Trade or profession Student
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Anslie Patriquin
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Patrica Alexandria
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Reginald Patriquin
address Black River,Oxford
Relationship to deceased Brother
21. Place of burial Oxford
Date of burial Sept 8,1970
22. Undertaker C.W.Black,Oxford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 5, 1970
CAUSE OF DEATH
(a) Shock and Inhalation/Blood/Multiple Fractures
(b) Rupture of Liver,Spleen,Lungs
(c) Auto Accident
other
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