Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Michael Stavent Hall death at West Jeddore, Halifax County on September 18, 1971

Male Death Registration: Year: 1971 number: 5627

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005627

1. PLACE OF DEATH   County of Halifax If in City or Town West Jeddore

3. PRINT NAME OF DECEASED Hall, Michael Stavent

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

single

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 12  12, 1949

10. AGE in  Years21  Months9  Days6 | hrs or mins

11. Trade or profession Messenger

12. Kind of industry Toyota

13. Date last worked September 18, 1971       14. Total years 1 month

15. If married name of spouse

16. NAME of Father Frank Hall

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Lena Williams

19. BIRTHPLACE Nova Scotia

20. Signature of Informant R. W. Hall

      address Porter's Lake

      Relationship to deceased Brother

21. Place of burial St. Michael's Cemetery, Sheet Harbour

      Date of burial September 20, 1971

22. Undertaker Duncan S. Crowell, P.O. Box 14, Sheet Harbour

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH September 18, 1971

CAUSE OF DEATH

(a) Asphyxiation

(b) Crushing Injury (car accident)

(c)

other

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