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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