Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Victor Gordon Nickerson death at South Side, Shelburne County on February 22, 1970
Male Death Registration: Year: 1970 number: 2044
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002044
1. PLACE OF DEATH County of Shelburne If in City or Town South Side
3. PRINT NAME OF DECEASED Nickerson, Victor Gordon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 19, 1912
10. AGE in Years57 Months3 Days3 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked Dec. 1968 14. Total years 39
15. If married name of spouse Amelia Nickerson
16. NAME of Father George Nickerson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Evelyn Nickerson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Robie G. Nickerson
address South Side Shel. Co.
Relationship to deceased Son
21. Place of burial South Side
Date of burial February 24, 1970
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 22, 1970
CAUSE OF DEATH
(a) Influenza
(b)
(c)
other
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