Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Samuel Anderson death at Beaverbank, Halifax County on February 2, 1970
Male Death Registration: Year: 1970 number: 1408
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001408
1. PLACE OF DEATH County of Halifax If in City or Town Beaverbank
If death occured in a hospital or institution Beaver Bank Rd, Beaver Brook
3. PRINT NAME OF DECEASED Anderson, Samuel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Motherwell, Scotland
9. DATE OF BIRTH 7 8, 938
10. AGE in Years31 Months6 Days25 | hrs or mins
11. Trade or profession Navy
12. Kind of industry
13. Date last worked 1970 14. Total years 11
15. If married name of spouse Irene (Christie)
16. NAME of Father Samuel Anderson
17. BIRTHPLACE Scotland
18. NAME of Mother Elizabeth Lowe
19. BIRTHPLACE Scotland
20. Signature of Informant Mrs. Irene Anderson
address Beaver Bank
Relationship to deceased Wife
21. Place of burial Burial at sea
Date of burial February 5, 1970
22. Undertaker Lindsay's, Bedford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 2, 1970
CAUSE OF DEATH
(a) hemorrhagic Shock
(b) Gun shot wound to abdomen
(c)
other
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