Male Death Registration: Year: 1971 number: 3688
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003688
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
If death occured in a hospital or institution 30 Charles St
3. PRINT NAME OF DECEASED Houle, Theodore Wilfred
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Capleton, Quebec
9. DATE OF BIRTH 9 18, 1905
10. AGE in Years65 Months8 Days10 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Electrician
13. Date last worked 1965 14. Total years 30 yrs
15. If married name of spouse Thedora Houle
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE Quebec
20. Signature of Informant Jeannette Ruggles
address 36 Anderson St. Dartmouth
Relationship to deceased Daughter
21. Place of burial Dalhousie Anatomy Department
Date of burial May 28, 1971
22. Undertaker Cruikshank Funeral Home Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 28, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495764
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