Male Death Registration: Year: 1971 number: 2771
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002771
1. PLACE OF DEATH County of Halifax If in City or Town Three Fathom Harbour
If death occured in a hospital or institution Three Fathom Harbour
3. PRINT NAME OF DECEASED Michaud, Romeo
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Green River, New Brunswick
9. DATE OF BIRTH 6 4, 1929
10. AGE in Years41 Months9 Days20 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Geraldine
16. NAME of Father Paul Michaud
17. BIRTHPLACE NB
18. NAME of Mother Olive Martin
19. BIRTHPLACE NB
20. Signature of Informant Mrs Geraldine Michaud
address East Lawrencetown
Relationship to deceased wife
21. Place of burial East Lawrencetown Cemetery
Date of burial April 12, 1971
22. Undertaker Mattatall Funeral Service Ltd, Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 24, 1971
CAUSE OF DEATH
(a) Accidental drowning
(b)
(c)
other Body recovered from Three Fathom Harbour
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494848
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