Male Death Registration: Year: 1970 number: 2641
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002641
1. PLACE OF DEATH County of Inverness If in City or Town Inverness
If death occured in a hospital or institution Inverness County Memorial Hospital
3. PRINT NAME OF DECEASED Embree, Reginald Parks
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Port Hood Island
9. DATE OF BIRTH 10 22, 1937
10. AGE in Years32 Months5 Days8 | hrs or mins
11. Trade or profession
12. Kind of industry (Invalid)
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Rufus Embree
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Lillian Parks
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Lillian Embree
address RR #1, Port Hood
Relationship to deceased Mother
21. Place of burial Port Hood
Date of burial April 1, 1970
22. Undertaker Thompson & Haverstock Funeral Home, Port Hawkesbury
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 30, 1970
CAUSE OF DEATH
(a) Septicemia
(b) Decubitus ulcers
(c) Mental retardation
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487953
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