Male Death Registration: Year: 1971 number: 2766
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002766
1. PLACE OF DEATH County of Digby If in City or Town Meteghan Station
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Romain, Joseph Edouard
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
french
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 2, 1904
10. AGE in Years66 Months10 Days4 | hrs or mins
11. Trade or profession Pensioner
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Prescille Romain
16. NAME of Father Augustin Romain
17. BIRTHPLACE NS
18. NAME of Mother Marie Jeanne Doucet
19. BIRTHPLACE NS
20. Signature of Informant Mrs prescille Romain
address RR#1 Meteghan River
Relationship to deceased wife
21. Place of burial Meteghan Centre, NS
Date of burial April 9, 1971
22. Undertaker Meteghan Funeral Service Ltd, Meteghan, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 6, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b) Chronic Coronary Heart
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494843
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