Male Death Registration: Year: 1971 number: 1665
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001665
1. PLACE OF DEATH County of Richmond If in City or Town Rockdale
3. PRINT NAME OF DECEASED Martell, Henry William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Rockdale
9. DATE OF BIRTH 6 4, 1895
10. AGE in Years75 Months8 Days1 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Deceased
16. NAME of Father Murdock Martell
17. BIRTHPLACE Rockdale, Nova Scotia
18. NAME of Mother Josephine Poirier
19. BIRTHPLACE D'Escousse, Nova Scotia
20. Signature of Informant Jerry A. Martell
address Rockdale
Relationship to deceased Son
21. Place of burial L'Ardoise Roman Catholic Cemetery
Date of burial February 7, 1971
22. Undertaker Alex A. Morrison, St. Peter's, Nova Scotia
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 5, 1971
CAUSE OF DEATH
(a) Influenza Pneumonia
(b) Influenza
(c)
other Chronic Emphysema Arteriosclerosis and Bronchitis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493743
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