Male Death Registration: Year: 1970 number: 2284
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002284
1. PLACE OF DEATH County of Kings If in City or Town Berwick
3. PRINT NAME OF DECEASED Nickerson, Charles Everett
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
divorced
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 2 29, 1908
10. AGE in Years61 Months11 Days25 | hrs or mins
11. Trade or profession Office Employee
12. Kind of industry
13. Date last worked 1935 14. Total years 11
15. If married name of spouse
16. NAME of Father Charles Nickerson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Messenger
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Alfred Newell
address West Head Shel. Co.
Relationship to deceased Nephew
21. Place of burial West Head.
Date of burial February 26, 1970
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 23, 1970
CAUSE OF DEATH
(a)
(b)
(c) ASAD
other CBS
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487597
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