Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Daniel Aucoin death at Inverness, Inverness County on July 12, 1971
Male Death Registration: Year: 1971 number: 4558
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004558
1. PLACE OF DEATH County of Inverness If in City or Town Inverness
If death occured in a hospital or institution St. Mary's Hospital, Inverness, NS
3. PRINT NAME OF DECEASED Aucoin, Daniel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Cheticamp
9. DATE OF BIRTH 1 15, 1966
10. AGE in Years5 Months6 Days3 | 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 Simon AuCoin
17. BIRTHPLACE Inverness Co.
18. NAME of Mother Jeanette Muise
19. BIRTHPLACE Inverness Co.
20. Signature of Informant Mrs. Simon Aucoin
address Plateau, NS
Relationship to deceased mother
21. Place of burial Cheticamp, NS
Date of burial July 15 1971
22. Undertaker Bernard Chiasson, Cheticamp, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 12, 1971
CAUSE OF DEATH
(a) Laceration, contusion of brain
(b) subdural basal fractures
(c)
other Accident: hit by car
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