Male Death Registration: Year: 1970 number: 6897
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006897
1. PLACE OF DEATH County of Halifax If in City or Town Sable Island
If death occured in a hospital or institution at work off Sable Island
3. PRINT NAME OF DECEASED Rodriquez Iniquez, Juan Manuel
4. Sex
Male
5. Citizenship
Spain
6. Racial Origin
Spanish
7. Single, Married
single
8. BIRTHPLACE Burgos, Spain
9. DATE OF BIRTH 11 3, 1946
10. AGE in Years24 Months0 Days24 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry Sea Drilling
13. Date last worked Nov. 27, 1970 14. Total years 9 days
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Harry C. Jowld
address 147-1/2 Ochterloney St., Dartmouth
Relationship to deceased Personnel Manager
21. Place of burial Burgos, Spain
Date of burial Dec. 1, 1970
22. Undertaker Dartmouth Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 27, 1970
CAUSE OF DEATH
(a) Crushing injury to abdomen
(b)
(c)
other Accident - crushed in elevator shaft
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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