Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Robert Haymond Patriquin death at Windsor, Hants County on December 28, 1971
Male Death Registration: Year: 1971 number: 7404
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007404
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital
3. PRINT NAME OF DECEASED Patriquin, Robert Haymond
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Moose River
9. DATE OF BIRTH 3 29, 1900
10. AGE in Years71 Months8 Days29 | hrs or mins
11. Trade or profession Retired Carpenter
12. Kind of industry and Miner
13. Date last worked 1958 14. Total years
15. If married name of spouse Violet Turnball
16. NAME of Father Danford Patriquin
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ella Fails
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Robert Patriquin
address RR2 Mt. Uniacke
Relationship to deceased Son
21. Place of burial Mt. Uniacke
Date of burial December 30, 1971
22. Undertaker Lindsays Bedford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 28, 1971
CAUSE OF DEATH
(a) Emphyrema
(b)
(c)
other
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