Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mariasusa Aloysius Thomas death at South Haven, Victoria County on March 21, 1971
Male Death Registration: Year: 1971 number: 2671
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002671
1. PLACE OF DEATH County of Victoria If in City or Town South Haven
If death occured in a hospital or institution Highway 105
3. PRINT NAME OF DECEASED Thomas, Mariasusa Aloysius
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Indian
7. Single, Married
married
8. BIRTHPLACE India
9. DATE OF BIRTH 12 29, 1919
10. AGE in Years51 Months2 Days22 | hrs or mins
11. Trade or profession Pathologist MD
12. Kind of industry
13. Date last worked Mar/71 14. Total years
15. If married name of spouse Lily Thomas
16. NAME of Father
17. BIRTHPLACE India
18. NAME of Mother
19. BIRTHPLACE India
20. Signature of Informant Joseph Thomas
address 35 Melrose Avenue, Glace Bay, NS
Relationship to deceased Son
21. Place of burial St. Anne's Cemetery, Glace Bay, NS
Date of burial March 25 1971
22. Undertaker Curry's Funeral Home, Glace Bay, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 21, 1971
CAUSE OF DEATH
(a) Multiple injuries
(b)
(c)
other Accident: 2-car collision Head & Chest injuries
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