Male Death Registration: Year: 1970 number: 7531
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007531
1. PLACE OF DEATH County of Annapolis If in City or Town Annapolis Royal
If death occured in a hospital or institution Annapolis General Hospital
3. PRINT NAME OF DECEASED Theriault, Harry Clayton
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Kentville
9. DATE OF BIRTH 10 10, 1918
10. AGE in Years52 Months2 Days19 | hrs or mins
11. Trade or profession Cleaner and helper
12. Kind of industry CFB Greenwood
13. Date last worked 1970 14. Total years
15. If married name of spouse Queenie McCabe
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother Jessie Marie Theriault
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Josephine A. Rice
address Bear River
Relationship to deceased Sister
21. Place of burial Bear River
Date of burial January 2, 1971
22. Undertaker R.W. Jayne Dykens
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 29, 1970
CAUSE OF DEATH
(a) Cardiac Arrest
(b) Acute Myocardial Infarction
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492837
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