Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Maurice Cote death at Miller Lake, Halifax County on April 4, 1971
Male Death Registration: Year: 1971 number: 2904
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002904
1. PLACE OF DEATH County of Halifax If in City or Town Miller Lake
If death occured in a hospital or institution on Highway
3. PRINT NAME OF DECEASED Cote, Maurice
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE St. Epiphone, River Deleux Co, PQ
9. DATE OF BIRTH 7 28, 1942
10. AGE in Years28 Months8 Days7 | hrs or mins
11. Trade or profession
12. Kind of industry Labourer
13. Date last worked 1971 14. Total years 7 yrs
15. If married name of spouse
16. NAME of Father Amedee Cote
17. BIRTHPLACE Quebec
18. NAME of Mother Lucille Rioux
19. BIRTHPLACE Quebec
20. Signature of Informant Funeral Director
address Jrios Pistoles, Quebec
Relationship to deceased
21. Place of burial Ste Francois Cemerery, Ste Francois Quebec
Date of burial April 9, 1971
22. Undertaker R D Lindsay, Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 4, 1971
CAUSE OF DEATH
(a) Multiple Injuries
(b)
(c)
other Accident: Passenger in 4-car collision
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