Male Death Registration: Year: 1970 number: 1680
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001680
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 Jollimore, Hiram Laben
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 22, 1900
10. AGE in Years69 Months5 Days25 | hrs or mins
11. Trade or profession
12. Kind of industry Fishing
13. Date last worked 1969 14. Total years Life
15. If married name of spouse Nellie Jollimore
16. NAME of Father Robert Jollimore
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Eva Jollimore
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Lola Ewing
address Hubbards
Relationship to deceased Daughter
21. Place of burial Fox Point Lunenburg Co.
Date of burial Feb 19, 1970
22. Undertaker MacDonald Funeral Home, Hubbards
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 16, 1970
CAUSE OF DEATH
(a) Cardiac Arrest
(b) Pancreatitis
(c)
other Cancer of the bladder and prostate
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486994
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