Male Death Registration: Year: 1971 number: 5183
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005183
1. PLACE OF DEATH County of Richmond If in City or Town Richmond
3. PRINT NAME OF DECEASED Goyetche, Patrick Simon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Arichat
9. DATE OF BIRTH 4 25, 1948
10. AGE in Years23 Months3 Days27 | hrs or mins
11. Trade or profession Seaman
12. Kind of industry Freight Boat
13. Date last worked Aug 16/71 14. Total years 4 months
15. If married name of spouse Single
16. NAME of Father Clifford Goyetche
17. BIRTHPLACE River Bourgeois, Nova Scotia
18. NAME of Mother Martha Fitzgerald
19. BIRTHPLACE River Bourgeois, Nova Scotia
20. Signature of Informant Clifford Goyetche
address River Bourgeois
Relationship to deceased Father
21. Place of burial River Bourgeois R. C. Cemetery
Date of burial August 25, 1971
22. Undertaker Alex A Morrison, St. Peters, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 22, 1971
CAUSE OF DEATH
(a) Skull Fracture
(b)
(c)
other Accident: car left road
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497257
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