Male Death Registration: Year: 1971 number: 2667
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002667
1. PLACE OF DEATH County of Queens If in City or Town Mersey River
If death occured in a hospital or institution Lower Lake Falls
3. PRINT NAME OF DECEASED Branch, Robert David
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 11 15, 1941
10. AGE in Years29 Months4 Days20 | hrs or mins
11. Trade or profession Technician
12. Kind of industry Defence Research East Atlantic
13. Date last worked March 30/71 14. Total years 6 yrs
15. If married name of spouse
16. NAME of Father Wm. James Branch
17. BIRTHPLACE Halifax
18. NAME of Mother Marjorie Cole
19. BIRTHPLACE Halifax
20. Signature of Informant Mrs. W.J. Branch
address 2581 Poplar St., Halifax
Relationship to deceased Mother
21. Place of burial Gate of Heaven Cemetery, Lr. Sackville
Date of burial April 7, 1971
22. Undertaker Halifax Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 4, 1971
CAUSE OF DEATH
(a) Accidental Drowning
(b)
(c)
other Accident: drowned while fishing from canoe
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494744
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