Male Death Registration: Year: 1971 number: 4096
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004096
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Vigneau, Michel
4. Sex
Male
5. Citizenship
French
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Saint Pierre & Miquelon
9. DATE OF BIRTH 12 12, 1953
10. AGE in Years17 Months6 Days14 | 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 Louis Vigneau
17. BIRTHPLACE Saint Pierre
18. NAME of Mother Blanche Chatel
19. BIRTHPLACE Saint Pierre
20. Signature of Informant Mr. Louis Vigneau
address 12 Rue Sadi Carnot, Saint Pierre
Relationship to deceased Father
21. Place of burial Saint Pierre & Miquelon
Date of burial June 29, 1971
22. Undertaker Snow and Company Ltd., Halifax, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 26, 1971
CAUSE OF DEATH
(a) Cardiac Arrest
(b) Hypokalaemin
(c) 70% burns
other Accident: Gasoline tank exploded
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496171
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