Male Death Registration: Year: 1971 number: 4584
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004584
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Tudor, David Patrick
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Yarmouth
9. DATE OF BIRTH 3 1, 1971
10. AGE in Years Months3 Days11 | 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 Raymond Tudor
17. BIRTHPLACE New Waterford
18. NAME of Mother Patricia MacCarthy
19. BIRTHPLACE North Sydney
20. Signature of Informant Mrs. Patricia Tudor
address Barrington, Shel. Co., NS
Relationship to deceased Mother
21. Place of burial Yarmouth, NS
Date of burial June 14, 1971
22. Undertaker Sweeny's Funeral Home, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 12, 1971
CAUSE OF DEATH
(a) Multiple Congenital Anomalies
(b)
(c)
other Pneumonia
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496659
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