Male Death Registration: Year: 1971 number: 3469
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003469
1. PLACE OF DEATH County of Halifax If in City or Town Moosehead
3. PRINT NAME OF DECEASED Powell, Edwin Fancy
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Moser River
9. DATE OF BIRTH 10 15, 1932
10. AGE in Years38 Months7 Days7 | hrs or mins
11. Trade or profession Electrical Officer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Elizabeth
16. NAME of Father Ralph Powell
17. BIRTHPLACE Moser River
18. NAME of Mother Jean Fancy
19. BIRTHPLACE Moser River
20. Signature of Informant Mrs. Betty Powell
address Moser River, NS
Relationship to deceased Sister
21. Place of burial Moser River, NS
Date of burial May 25, 1971
22. Undertaker Veinotte and Sons Funeral Services Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 22, 1971
CAUSE OF DEATH
(a) Ruptured heart and multiple injuries
(b)
(c)
other Accident: vehicle ran off highway into pond
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495545
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