Male Death Registration: Year: 1970 number: 7636
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007636
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St. Rita Hospital
3. PRINT NAME OF DECEASED Bernard, Thomas James
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Mi'kmaq
7. Single, Married
married
8. BIRTHPLACE Cape Breton
9. DATE OF BIRTH 7 10, 1948
10. AGE in Years22 Months4 Days15 | hrs or mins
11. Trade or profession Student
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Eva Bernard
16. NAME of Father James Bernard
17. BIRTHPLACE Cape Breton
18. NAME of Mother Rita Paulette
19. BIRTHPLACE Cape Breton
20. Signature of Informant Eva Bernard
address Eskasoni
Relationship to deceased wife
21. Place of burial Holy Family Cemetery, Eskasoni
Date of burial November 28, 1970
22. Undertaker T.W. Curry, Limited, Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 25, 1970
CAUSE OF DEATH
(a) Head injury
(b)
(c)
other Accident involving car and pedestrian
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492942
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