Male Death Registration: Year: 1971 number: 1555
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001555
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Michelson, Thomas Robert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Ireland
9. DATE OF BIRTH 5 24, 1899
10. AGE in Years71 Months8 Days17 | hrs or mins
11. Trade or profession Retired
12. Kind of industry R.C.M.P.
13. Date last worked 14. Total years
15. If married name of spouse Dorothy
16. NAME of Father Augustus Michelson
17. BIRTHPLACE Irrland
18. NAME of Mother Jane Woodword
19. BIRTHPLACE Irrland
20. Signature of Informant Mrs. Dorothy Michelson
address 40 Rose St., Dart.
Relationship to deceased wife
21. Place of burial Sackville, N.B.
Date of burial February 13, 1971
22. Undertaker Mattatall's Funeral Home, Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 9, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Ch. Bronchitis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493633
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