Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Blair Ronald Underwood death at Halifax, Halifax County on August 18, 1971
Male Death Registration: Year: 1971 number: 5084
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005084
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Underwood, Blair Ronald
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Five Mile River
9. DATE OF BIRTH 3 15, 1934
10. AGE in Years37 Months5 Days3 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 24 Jul '71 14. Total years Life
15. If married name of spouse
16. NAME of Father William Underwood
17. BIRTHPLACE NS
18. NAME of Mother Helen McLaren
19. BIRTHPLACE NS
20. Signature of Informant Phyllis Underwood
address Five Mile River, NS
Relationship to deceased Sister-in-law
21. Place of burial Upper Kennetcook, NS
Date of burial 21 Aug '71
22. Undertaker Ettinger Funeral Service Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 18, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Multiple Injuries
(c)
other Accident: passenger in that left highway
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