Male Death Registration: Year: 1971 number: 4212
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004212
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 Baumhour, Raymond Russell
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Sutton, Ontario
9. DATE OF BIRTH 7 22, 1947
10. AGE in Years23 Months11 Days5 | hrs or mins
11. Trade or profession Corporal
12. Kind of industry R.C.N.
13. Date last worked June 24/71 14. Total years 4 years
15. If married name of spouse Mrs. Wendy Baumhour
16. NAME of Father Lloyd Baumhour
17. BIRTHPLACE Ontario
18. NAME of Mother Velma Break
19. BIRTHPLACE Ontario
20. Signature of Informant Mrs. Wendy Baumhour
address 47 Churchill Drive, Apt.35, Dartmouth
Relationship to deceased Wife
21. Place of burial Sutton, Ontario
Date of burial June 29, 1971
22. Undertaker A.L. Mattatall Fun. Serv. Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 27, 1971
CAUSE OF DEATH
(a) Multiple injuries
(b) Car accident
(c)
other Accident: car left highway
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496287
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