Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Trevor Donald Munroe death at Halifax, Halifax County on September 20, 1971
Male Death Registration: Year: 1971 number: 5683
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005683
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution IWK Children's Hospital, Halifax
3. PRINT NAME OF DECEASED Munroe, Trevor Donald
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
White
7. Single, Married
single
8. BIRTHPLACE Sheet Harbour, Halifax County
9. DATE OF BIRTH 9 17, 1971
10. AGE in Years Months Days3 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Donald munroe
17. BIRTHPLACE Canso, Guysborough Co., NS
18. NAME of Mother Catharien Fleet
19. BIRTHPLACE Ecum Secum, Halifax Co., NS
20. Signature of Informant Mrs. Milford Fleet
address Ecum Secum, Halifax Co., NS
Relationship to deceased Grandmother
21. Place of burial Ecum Secum, Halifax Co., NS
Date of burial 21 September 1971
22. Undertaker Veinotte & Sons Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 20, 1971
CAUSE OF DEATH
(a) Pneumomediastinum Pneumothorax
(b) Respiratory Distress Syndrome
(c)
other
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