Male Death Registration: Year: 1970 number: 1891
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001891
1. PLACE OF DEATH County of Lunenburg If in City or Town Rhodes Corner
3. PRINT NAME OF DECEASED Myra, Fred Starr
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Lunenburg
9. DATE OF BIRTH 2 18, 1894
10. AGE in Years75 Months10 Days22 | hrs or mins
11. Trade or profession retired
12. Kind of industry War Veteran
13. Date last worked 14. Total years
15. If married name of spouse Mildred Myra
16. NAME of Father Stephen Myra
17. BIRTHPLACE Lunenburg
18. NAME of Mother Nettie Zinck
19. BIRTHPLACE Lunenburg
20. Signature of Informant Frederick Myra
address Mahone Bay
Relationship to deceased Son
21. Place of burial Park Cemetery
Date of burial January 21, 1970
22. Undertaker Mahone Funeral Home, Mahone Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 9, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487205
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