Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Robert C. Poirier death at Arichat, Richmond County on August 29, 1971
Male Death Registration: Year: 1971 number: 5807
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005807
1. PLACE OF DEATH County of Richmond If in City or Town Arichat
If death occured in a hospital or institution St. Ann Hospital
3. PRINT NAME OF DECEASED Poirier, Robert C.
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE West Arichat, Richmond County
9. DATE OF BIRTH 11 11, 1896
10. AGE in Years74 Months9 Days18 | 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 Mary Ida Poirier
16. NAME of Father Emile Poirier
17. BIRTHPLACE West Arichat, Richmond Co., NS
18. NAME of Mother Marie LeJeune
19. BIRTHPLACE West Arichat, Richmond Co., NS
20. Signature of Informant Mary Ida Poirier
address West Arichat, Richmond Co., NS
Relationship to deceased Wife
21. Place of burial West Arichat, Richmond Co., NS
Date of burial 31 August 1971
22. Undertaker C. A. Boucher Funeral Home, Arichat, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 29, 1971
CAUSE OF DEATH
(a) Cardiovascular Accident
(b) Hypertension
(c) Myocardial Insufficiency
other
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