Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Melvin Gordon Pierce death at Middleton, Annapolis County on October 29, 1971
Male Death Registration: Year: 1971 number: 7025
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007025
1. PLACE OF DEATH County of Annapolis If in City or Town Middleton
If death occured in a hospital or institution Soldiers Memorial Hospital
3. PRINT NAME OF DECEASED Pierce, Melvin Gordon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Middleton
9. DATE OF BIRTH 8 8, 1953
10. AGE in Years18 Months2 Days21 | hrs or mins
11. Trade or profession Student (Cookery)
12. Kind of industry Vocational School
13. Date last worked October 28, 1971 14. Total years 2 years
15. If married name of spouse
16. NAME of Father Archibald Pierce
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Vera Byles
19. BIRTHPLACE Middlesex, England
20. Signature of Informant Mrs. Vera Pierce
address Margaretsville
Relationship to deceased Mother
21. Place of burial Melvern Square
Date of burial October 31, 1971
22. Undertaker Warren T. Roop Ltd. Middleton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 29, 1971
CAUSE OF DEATH
(a) Gross Cerebral Trauma
(b) Skull Fracture
(c)
other Accident - Automobile struck tree (driver)
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