Male Death Registration: Year: 1971 number: 4589
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004589
1. PLACE OF DEATH County of Guysborough If in City or Town Steep Creek
3. PRINT NAME OF DECEASED Emery, Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Quebec
9. DATE OF BIRTH 10 3, 1939
10. AGE in Years31 Months8 Days19 | hrs or mins
11. Trade or profession Pipefitter
12. Kind of industry Construction
13. Date last worked May/71 14. Total years 10
15. If married name of spouse Mrs. Marcelle Emery
16. NAME of Father Albert Emery
17. BIRTHPLACE Quebec
18. NAME of Mother Rose Alba Champagne
19. BIRTHPLACE Quebec
20. Signature of Informant Mrs. marcelle Emery
address Mulgrave, NS
Relationship to deceased Wife
21. Place of burial Montreal, Quebec
Date of burial June 25, 1971
22. Undertaker MacIsaac Funeral Home, Antigonish, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 22, 1971
CAUSE OF DEATH
(a) drowning
(b)
(c)
other Accident: drove car off cliff
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496664
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