Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Thomas Robert Michelson death at Halifax, Halifax County on February 9, 1971

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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