Male Death Registration: Year: 1970 number: 2796
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002796
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hospital
3. PRINT NAME OF DECEASED Archibald, Samuel Arthur Neil
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 6, 1884
10. AGE in Years85 Months11 Days18 | hrs or mins
11. Trade or profession retired
12. Kind of industry merchant
13. Date last worked 1950 14. Total years life
15. If married name of spouse Emma Archibald
16. NAME of Father William Archibald
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jane Gunn
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Cecil Archibald
address Newtown, Guys Co
Relationship to deceased Son
21. Place of burial Newtown N S.
Date of burial Mar 27, 1970
22. Undertaker Angus, New Glasgow
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 24, 1970
CAUSE OF DEATH
(a) gastric hemorrhage
(b) duodenal ulcer
(c) severe anemia
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488108
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