Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Cycil Benjamin Van Buskirk death at Halifax, Halifax County on January 10, 1970
Male Death Registration: Year: 1970 number: 1113
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001113
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Van Buskirk, Cycil Benjamin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Bedford
9. DATE OF BIRTH 9 1, 1906
10. AGE in Years63 Months4 Days9 | hrs or mins
11. Trade or profession Foreman
12. Kind of industry Morris Ltd.
13. Date last worked 1970 14. Total years 44
15. If married name of spouse Louise (Biddle)
16. NAME of Father Joseph Van Buskirk
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Sarah Willis
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Louise Van Buskirk
address 1068 Bedford Hwy., Bedford
Relationship to deceased Wife
21. Place of burial Brookside Cem
Date of burial Jan 13, 1970
22. Undertaker Lindsay's Bedford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 10, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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