Male Death Registration: Year: 1971 number: 3405
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003405
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution Truro Hospital
3. PRINT NAME OF DECEASED Graham, Paul Harvie
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Upper Musquodoboit
9. DATE OF BIRTH 3 16, 1951
10. AGE in Years20 Months1 Days29 | hrs or mins
11. Trade or profession labourer
12. Kind of industry
13. Date last worked Nov. 1970 14. Total years life
15. If married name of spouse
16. NAME of Father Ervine Graham
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Lottie Ross
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Ervine Graham
address Upper Musquodoboit
Relationship to deceased father
21. Place of burial Burnside, N.S
Date of burial 18 May'71
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 15, 1971
CAUSE OF DEATH
(a) Multiple injuries including rupture of the abdominal viscera due to car accident
(b)
(c)
other Accident: car left highway, struck culvert & rolled several times
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495481
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