Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Harry Clayton Theriault death at Annapolis Royal, Annapolis County on December 29, 1970

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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