Male Death Registration: Year: 1970 number: 1051
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001051
1. PLACE OF DEATH County of Digby If in City or Town Digby
If death occured in a hospital or institution Digby General Hospital
3. PRINT NAME OF DECEASED Vantassell, Elmer Merton
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
married
8. BIRTHPLACE Tiverton
9. DATE OF BIRTH 7 6, 1887
10. AGE in Years82 Months5 Days28 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Farmer
13. Date last worked 1965 14. Total years
15. If married name of spouse Bernice Outhouse
16. NAME of Father Isaiah Vantassell
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Deliah Weaver
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Kenneth Vantassell
address Tiverton, Digby Co.
Relationship to deceased Son
21. Place of burial Tiverton
Date of burial January 6, 1970
22. Undertaker Jaynes Funeral Home Ltd., Digby
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 3, 1970
CAUSE OF DEATH
(a) Hyperstatic pneumonia
(b) ASHD
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486365
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