Male Death Registration: Year: 1971 number: 5112
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005112
1. PLACE OF DEATH County of Cape Breton If in City or Town East Bay
3. PRINT NAME OF DECEASED Arsenault, Michael
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 3 15, 1953
10. AGE in Years18 Months4 Days26 | hrs or mins
11. Trade or profession Student
12. Kind of industry Sydney Academy
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Leslie Arsenault
17. BIRTHPLACE Sydney
18. NAME of Mother Florence Cameron
19. BIRTHPLACE Sydney
20. Signature of Informant Leslie Arsenault
address 136 Hospital St., Sydney
Relationship to deceased father
21. Place of burial Forest Haven Memorial Gardens, Sydney-Glace Bay Highway C.B.
Date of burial Aug 13, 1971
22. Undertaker R.H. Fillmore Funeral Home Ltd. Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 11, 1971
CAUSE OF DEATH
(a) Drowning
(b)
(c)
other Accident: car rolled off Hwy. into pond
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497186
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