Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Herbert Paquette death at Sydney, Cape Breton County on July 12, 1971
Male Death Registration: Year: 1971 number: 4407
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004407
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital
3. PRINT NAME OF DECEASED Paquette, Herbert
4. Sex
Male
5. Citizenship
American
6. Racial Origin
French
7. Single, Married
divorced
8. BIRTHPLACE Rhode Island, USA
9. DATE OF BIRTH 4 19, 1919
10. AGE in Years52 Months2 Days | 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 Hubert Paquette
17. BIRTHPLACE Rhode Island, USA
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs. Jean Evans
address 62 Nolan St., Providence, Rhode Island
Relationship to deceased
21. Place of burial Rhode Island, USA
Date of burial July 16, 1971
22. Undertaker T. W. Curry Limited., Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 12, 1971
CAUSE OF DEATH
(a) Cerebrovascular Accident
(b) Arteriosclerotic Disease
(c)
other Arterial Heart Disease Cerebrovascular Disease Surgery Carcinoma of Larynx
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