Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Aubrey Clement Bolivar death at Middleton, Annapolis County on January 5, 1970
Male Death Registration: Year: 1970 number: 1027
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001027
1. PLACE OF DEATH County of Annapolis If in City or Town Middleton
If death occured in a hospital or institution Soldier's Memorial Hospital
3. PRINT NAME OF DECEASED Bolivar, Aubrey Clement
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
single
8. BIRTHPLACE Baker Settlement
9. DATE OF BIRTH 1 16, 1907
10. AGE in Years62 Months11 Days20 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry Mixed Farming
13. Date last worked December 27th, 1969 14. Total years Approx 45
15. If married name of spouse
16. NAME of Father Mr. Walter Bolivar
17. BIRTHPLACE Baker Settlement
18. NAME of Mother Miss Jane Knox
19. BIRTHPLACE Baker Settlement
20. Signature of Informant Lee G Bolivar
address RR 1 BWater
Relationship to deceased Brother
21. Place of burial Baker Settlement, Lun. Co.
Date of burial January 8th, 1970
22. Undertaker Stan N. Wamback, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 5, 1970
CAUSE OF DEATH
(a) Coronary Thrombosis
(b) Hypertension
(c)
other
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