Male Death Registration: Year: 1970 number: 2107
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002107
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Spring Garden Villa, Sydney
3. PRINT NAME OF DECEASED Nickerson, Eugene Augustus
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 13, 1883
10. AGE in Years86 Months11 Days24 | hrs or mins
11. Trade or profession Electrician, retired
12. Kind of industry
13. Date last worked 1952 14. Total years 50
15. If married name of spouse Blanche Nickerson
16. NAME of Father Stephen Nickerson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Celestine Rose
19. BIRTHPLACE Newfoundland
20. Signature of Informant Bruce N. Nickerson
address 371 (illegible) Drive, Halifax
Relationship to deceased Son
21. Place of burial Halifax
Date of burial March 12, 1970
22. Undertaker W. J. Dooley Funeral Svc. Ltd., North Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 9, 1970
CAUSE OF DEATH
(a) Cardiac failure due to arterosclerotic cardiac disease
(b)
(c) Strokes
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487420
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