Male Death Registration: Year: 1971 number: 2862
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002862
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Munroe, Cyril Francis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
divorced
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 26, 1925
10. AGE in Years45 Months5 Days24 | hrs or mins
11. Trade or profession Painter
12. Kind of industry
13. Date last worked 1970 14. Total years
15. If married name of spouse Jean
16. NAME of Father Andrew Munroe
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Catherine Power
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr Andrew Munroe
address 79 1/2 Coronation Ave
Relationship to deceased brother
21. Place of burial Mt. Olivet, Hfx
Date of burial April 22, 1971
22. Undertaker Snow & Co, Ltd, Halifax, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 19, 1971
CAUSE OF DEATH
(a) Acute Mediastinitis
(b) Perforated Esophagus
(c) (Boerhave Syndrome)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494939
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