Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Roland Girourd death at Halifax, Halifax County on October 4, 1970
Male Death Registration: Year: 1970 number: 6105
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006105
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution I.W.K. Hospital for Children
3. PRINT NAME OF DECEASED Girourd, Roland
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Westmount County, New Brunswick
9. DATE OF BIRTH 5 10, 1970
10. AGE in Years Months4 Days24 | hrs or mins
11. Trade or profession
12. Kind of industry Infant
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Leandre J. Girouard
17. BIRTHPLACE New Brunswick
18. NAME of Mother Margaret Meunier
19. BIRTHPLACE New Brunswick
20. Signature of Informant Leandre Girourd
address RR.#5 Lake Burn, Moncton, New Brunswick
Relationship to deceased Father
21. Place of burial Holy Cross Cemetery, Halifax
Date of burial October 5, 1970
22. Undertaker R.O. Lindsay Funeral Home Ltd. Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 4, 1970
CAUSE OF DEATH
(a) Bilatorial Bronchortic
(b) Patont Ducus Artsaiousos
(c)
other
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