Male Death Registration: Year: 1971 number: 5245
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005245
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St Rita Hospital
3. PRINT NAME OF DECEASED Martell, Onesime
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE L'Ardoise.
9. DATE OF BIRTH 3 21, 1898
10. AGE in Years73 Months4 Days14 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Annie Harris (Deceased)
16. NAME of Father Helair Martell
17. BIRTHPLACE L'Ardoise
18. NAME of Mother Mary Power
19. BIRTHPLACE D'Escousse, Nova Scotia
20. Signature of Informant Mrs Betty Sampson
address L'Ardoise, Richmond Co
Relationship to deceased Friend.
21. Place of burial L'Ardoise R.C. Cemetery
Date of burial August 6. 1971.
22. Undertaker Morrison's Funeral Home, St Peter's NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 4, 1971
CAUSE OF DEATH
(a) Pneumonia
(b) Respiratory Failure
(c) Emphysema
other Rheumatoid Arthritis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497319
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