Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Francis K. Samson death at Sydney, Cape Breton County on May 9, 1971
Male Death Registration: Year: 1971 number: 3572
Click to view and save (right-click) each image above for free or contact us to Buy certified paper copies. | Send a correction
Click to view and save (right-click) each image above for free or contact us to Buy certified paper copies. | Send a correction
note: transcription publicly contributed - please contact us with comments, errors or omisions
PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003572
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital
3. PRINT NAME OF DECEASED Samson, Francis K.
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Petit de Grat, Rich. County
9. DATE OF BIRTH 10 6, 1970
10. AGE in Years Months7 Days2 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Francis Samson
17. BIRTHPLACE Petit de Grat
18. NAME of Mother Yvonne Boudreau
19. BIRTHPLACE Petit de Grat
20. Signature of Informant Francis Samson
address Petit de Grat, Rich. Co
Relationship to deceased Father
21. Place of burial Petit de Grat
Date of burial May 10, 1971
22. Undertaker C. A. Boucher Funeral Director, Arichat, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 9, 1971
CAUSE OF DEATH
(a) Gastroenteritis with severe dehydration
(b)
(c)
other
Keyword Search looks for the "term" (one word or number works best) you type throughout the whole record. It is less accurate than the advanced search but it does let you search for age, religion, mother's maiden name, etc. if transcribed.