Male Death Registration: Year: 1971 number: 4075
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004075
1. PLACE OF DEATH County of Yarmouth If in City or Town Raynarton
If death occured in a hospital or institution Vaughan Lake
3. PRINT NAME OF DECEASED Blanchard, Paul William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
separated
8. BIRTHPLACE Belleville
9. DATE OF BIRTH 2 5, 1935
10. AGE in Years36 Months4 Days15 | hrs or mins
11. Trade or profession Steward
12. Kind of industry Prince of Fundy
13. Date last worked June 19/71 14. Total years
15. If married name of spouse Verna Mae Blanchard
16. NAME of Father John Blanchard
17. BIRTHPLACE Bell Neck, NS
18. NAME of Mother Mary Adele LeFave
19. BIRTHPLACE Belleville, NS
20. Signature of Informant Margaret N. Adam
address Belleville, Yar. Co., NS
Relationship to deceased Common Law Wife
21. Place of burial Ste Anne du Ruisseau
Date of burial June 23, 1971
22. Undertaker H. M. Huskilson Funeral Home, Yarmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 19, 1971
CAUSE OF DEATH
(a) Drowning
(b)
(c)
other Accident: Small boat upset while fishing
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496150
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