Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Bert Mathew Hearn death at Evanston, Richmond County on May 1, 1971
Male Death Registration: Year: 1971 number: 3533
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003533
1. PLACE OF DEATH County of Richmond If in City or Town Evanston
If death occured in a hospital or institution In the woods
3. PRINT NAME OF DECEASED Hearn, Bert Mathew
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Rocky Bay, Rich. County Nova Scotia
9. DATE OF BIRTH 10 28, 1917
10. AGE in Years53 Months6 Days3 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry Self
13. Date last worked Jan/71 14. Total years 23 yrs
15. If married name of spouse Bernice
16. NAME of Father William H Hearn
17. BIRTHPLACE Rocky Bay Rich. Co. NS
18. NAME of Mother Elizabeth Mullins
19. BIRTHPLACE St John's Newfoundland
20. Signature of Informant John F Proctor
address RR #1 Evanston Rich Co NS
Relationship to deceased son-in-law
21. Place of burial Whiteside Rich Co NS
Date of burial May 1st 1971
22. Undertaker Rod MacDonald Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 1, 1971
CAUSE OF DEATH
(a) Crush injury to the chest
(b)
(c)
other Accident: Pinned down by a tractor, in the woods
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