Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Raymond Harpell Coulter death at Halifax, Halifax County on September 4, 1971
Male Death Registration: Year: 1971 number: 5677
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005677
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Coulter, Raymond Harpell
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Hartford
9. DATE OF BIRTH 11 18, 1895
10. AGE in Years75 Months9 Days17 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Grocery store
13. Date last worked June 1970 14. Total years
15. If married name of spouse Marie Coulter
16. NAME of Father George Coulter
17. BIRTHPLACE Hartford, Nova Scotia
18. NAME of Mother Vilah Harpell
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr Coulter
address 6934 Chebucto Rd, Halifax, Nova Scotia
Relationship to deceased Son
21. Place of burial River Philip Cemetery
Date of burial Sep 6, 1971
22. Undertaker F A Black, Oxford, Nova Scotia
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 4, 1971
CAUSE OF DEATH
(a) Septic Shock
(b) malnutrition
(c) Thyroid Tumor
other
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