Male Death Registration: Year: 1970 number: 1564
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001564
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 Johnson, Earl Basil
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 5 18, 1923
10. AGE in Years46 Months8 Days22 | hrs or mins
11. Trade or profession Owner
12. Kind of industry Buckingham Tavern
13. Date last worked Nov 1969 14. Total years 5 years
15. If married name of spouse Myrtle Johnson
16. NAME of Father Benjamin O. Johnson
17. BIRTHPLACE Saint John, New Brunswick
18. NAME of Mother Ruth Purcell
19. BIRTHPLACE Halifax
20. Signature of Informant Mrs. E.B Johnson FMC
address 2255 Newton Ave. Halifax
Relationship to deceased Wife
21. Place of burial Gate of Heaven Lr Sackville
Date of burial Feb 11 1970
22. Undertaker Halifax Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 9, 1970
CAUSE OF DEATH
(a) Myocardial infraction
(b) Coronary atherosclerosis
(c)
other Partial myocardial ventilatory attempted
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486878
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