Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John David VanBuskirk death at Pugwash, Cumberland County on March 17, 1970
Male Death Registration: Year: 1970 number: 2495
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002495
1. PLACE OF DEATH County of Cumberland If in City or Town Pugwash
If death occured in a hospital or institution North Cumberland Memorial Hospital
3. PRINT NAME OF DECEASED VanBuskirk, John David
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
married
8. BIRTHPLACE Pugwash River
9. DATE OF BIRTH 10 31, 1892
10. AGE in Years77 Months4 Days17 | hrs or mins
11. Trade or profession Meat & Fish Peddler
12. Kind of industry
13. Date last worked Nov. 1959 14. Total years 28
15. If married name of spouse Mrs. Hazel VaNew Brunswickuskirk
16. NAME of Father Samuel VaNew Brunswickuskirk
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Zillah Sarson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Hazel VaNew Brunswickuskirk
address Wallace Bridge
Relationship to deceased Wife
21. Place of burial Wallace River
Date of burial March 20, 1970
22. Undertaker W. I. Mundle, Pugwash
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 17, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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