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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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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