Male Death Registration: Year: 1971 number: 5189
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005189
1. PLACE OF DEATH County of Victoria If in City or Town Kellys Mountain
If death occured in a hospital or institution Public Highway
3. PRINT NAME OF DECEASED Rich, Murray D
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE New Waterford
9. DATE OF BIRTH 3 29, 1922
10. AGE in Years49 Months4 Days19 | hrs or mins
11. Trade or profession Taxi Operator
12. Kind of industry
13. Date last worked 1971 14. Total years 10 yrs
15. If married name of spouse Livina Royal
16. NAME of Father Isaac Rich
17. BIRTHPLACE New Waterford, N.S
18. NAME of Mother Sadie Fraser
19. BIRTHPLACE Cape North, Inverness Co.
20. Signature of Informant Mrs. Murray Rich
address 68 Emerald St. New Waterford, N.S
Relationship to deceased Wife
21. Place of burial St. Agnes Cemetery, New Waterford, N.S
Date of burial August 20, 1971
22. Undertaker V.J. McGillivray Funeral Homes Ltd. New Waterford, N.S
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 17, 1971
CAUSE OF DEATH
(a) Broken Neck
(b)
(c)
other Accident: car left highway
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497263
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