Male Death Registration: Year: 1971 number: 4232
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004232
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St Martha's Hospital
3. PRINT NAME OF DECEASED Marchand, Benjamin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Louisdale, Richmond County
9. DATE OF BIRTH 9 1, 1875
10. AGE in Years95 Months10 Days2 | hrs or mins
11. Trade or profession Pentioner
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Elizabeth Marchand
16. NAME of Father Ben Marchand
17. BIRTHPLACE Louisdale Rich. Co.
18. NAME of Mother Marie Marchand
19. BIRTHPLACE Louisdale, Rich. Co.
20. Signature of Informant Elizabeth Marchand
address Louisdale G.D.
Relationship to deceased wife
21. Place of burial Louisdale Rich. Co. N.S.
Date of burial July 5, 1971
22. Undertaker CA Boucher Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 3, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Senile decay
(c)
other Accident: Fell at home -Fracture of left hip
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496307
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