Male Death Registration: Year: 1971 number: 5879
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005879
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney Mines
If death occured in a hospital or institution Harbour View Hospital
3. PRINT NAME OF DECEASED Paquet, William Henry
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 4, 1895
10. AGE in Years76 Months3 Days28 | hrs or mins
11. Trade or profession Retired Miner
12. Kind of industry Coal Mine
13. Date last worked Sept/57 14. Total years 47
15. If married name of spouse Matilda Paquet
16. NAME of Father Frank Paquet
17. BIRTHPLACE Magdalen Islands
18. NAME of Mother Christena Brothers
19. BIRTHPLACE Magdalen Islands
20. Signature of Informant John Paquet
address 16 Burke St., Sydney Mines
Relationship to deceased Son
21. Place of burial St. Joseph's, Sydney Mines
Date of burial October 5, 1971
22. Undertaker George R. Francis, Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 2, 1971
CAUSE OF DEATH
(a) Cerebro Vascular Accident
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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