Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Gilles Omer DesRochers death at Amherst, Cumberland County on November 10, 1971

Male Death Registration: Year: 1971 number: 7197

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 007197

1. PLACE OF DEATH   County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital

3. PRINT NAME OF DECEASED DesRochers, Gilles Omer

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

French

7. Single, Married

single

8. BIRTHPLACE Hull, Quebec

9. DATE OF BIRTH 7  6, 1948

10. AGE in  Years23  Months4  Days4 | hrs or mins

11. Trade or profession Branch Manager

12. Kind of industry Handleman Co.,

13. Date last worked to date       14. Total years

15. If married name of spouse

16. NAME of Father Fernand DesRochers

17. BIRTHPLACE Hull, Quebec

18. NAME of Mother Rita Robillard

19. BIRTHPLACE Ottawa, Ontario

20. Signature of Informant Mrs. Fernand DesRocher

      address Hull, Quebec

      Relationship to deceased Mother

21. Place of burial Hull, Quebec

      Date of burial 13 November 1971

22. Undertaker Furlong's Funeral Home Ltd., Amherst, NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH November 10, 1971

CAUSE OF DEATH

(a) Fracture/dislocation of the neck due to head on motor vehicle collision

(b) Fractured Skull

(c) Fractured Rib Cage

other Fractured Lower Limbs

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499269

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