Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Roger B. Paquette death at Halifax, Halifax County on October 17, 1971
Male Death Registration: Year: 1971 number: 5962
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005962
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Fairview Villa
3. PRINT NAME OF DECEASED Paquette, Roger B.
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Fall River, Mass., U.S.A.
9. DATE OF BIRTH 4 4, 1943
10. AGE in Years28 Months6 Days13 | hrs or mins
11. Trade or profession Sales Clerk
12. Kind of industry
13. Date last worked 1970 14. Total years 8
15. If married name of spouse
16. NAME of Father Oscar J Paquette
17. BIRTHPLACE Mass.
18. NAME of Mother Gertrude Castonguay
19. BIRTHPLACE Fall River, Mass.
20. Signature of Informant Oscar Paquette
address 504 Demarau, St. Jean, Que.
Relationship to deceased Father
21. Place of burial Gate of Heave, Hfx. Co.
Date of burial October 20, 1971
22. Undertaker Snow & Co., Ltd., Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 17, 1971
CAUSE OF DEATH
(a) Carcinomatosis
(b) Ca of colon
(c)
other
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