Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
David Bernard death at Nyanza, Victoria County on November 13, 1970
Male Death Registration: Year: 1970 number: 6755
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006755
1. PLACE OF DEATH County of Victoria If in City or Town Nyanza
If death occured in a hospital or institution wooded area
3. PRINT NAME OF DECEASED Bernard, David
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Mi'Kmaq
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 12 28, 1942
10. AGE in Years27 Months10 Days16 | hrs or mins
11. Trade or profession Laborer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Susan
16. NAME of Father Frank Bernard
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Susan Isadore
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mary S. Bernard
address Nyanza
Relationship to deceased Mother
21. Place of burial Nyanza, Vic. Co.
Date of burial Nov. 17, 1970
22. Undertaker B. MacAskill, Baddeck
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 13, 1970
CAUSE OF DEATH
(a) Gunshot wound to heart
(b)
(c)
other Suicide
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