Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Everett Dauphinee death at Medway River, Queens County on December 23, 1971
Male Death Registration: Year: 1971 number: 7597
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007597
1. PLACE OF DEATH County of Queens If in City or Town Medway River
3. PRINT NAME OF DECEASED Dauphinee, Everett
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Medway River, Queens County
9. DATE OF BIRTH 9 7, 1908
10. AGE in Years63 Months3 Days16 | hrs or mins
11. Trade or profession Retired Welder
12. Kind of industry Steel and Engine Prod. Ltd.
13. Date last worked January 1970 14. Total years
15. If married name of spouse Helen Gertrude Dauphinee
16. NAME of Father Eldred Dauphinee
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Ann Leslie
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Helen Dauphinee
address RR1, Mill Village, Queens Co., NS
Relationship to deceased Wife
21. Place of burial Mill Village, Queens Co., NS
Date of burial December 27, 1971
22. Undertaker Chandlers Funeral Service Ltd., Liverpool, Queens Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 23, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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