Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ernest Black death at Pugwash, Cumberland County on February 19, 1970
Male Death Registration: Year: 1970 number: 2131
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002131
1. PLACE OF DEATH County of Cumberland If in City or Town Pugwash
If death occured in a hospital or institution Sunrise Villa Nursing Home
3. PRINT NAME OF DECEASED Black, Ernest
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Cumberland County
9. DATE OF BIRTH 3 11, 1878
10. AGE in Years91 Months11 Days8 | hrs or mins
11. Trade or profession Lumberman (retired)
12. Kind of industry
13. Date last worked 1955 14. Total years 40
15. If married name of spouse (not recorded)
16. NAME of Father George Black
17. BIRTHPLACE Nova Scotia
18. NAME of Mother (not recorded) Fillimore
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. T. H. Berry
address 2905 Parkdale Ave, Halifax
Relationship to deceased Daughter
21. Place of burial Pine Grove Cemetery, Oxford
Date of burial February 21, 1970
22. Undertaker C. W. Black
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 19, 1970
CAUSE OF DEATH
(a) Cerebral thrombosis
(b)
(c)
other
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