Male Death Registration: Year: 1970 number: 3194
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003194
1. PLACE OF DEATH County of Queens If in City or Town Liverpool
If death occured in a hospital or institution Queens General Hospital
3. PRINT NAME OF DECEASED Mitchell, George Clifford
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Mill Village
9. DATE OF BIRTH 2 2, 1876
10. AGE in Years94 Months2 Days25 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Carpenter
13. Date last worked 1942 14. Total years 54 years
15. If married name of spouse Harriett Ellen Mitchell
16. NAME of Father Alfred Mitchell
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Adelaide Young
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Margaret Young
address 51 Summer St, Liverpool
Relationship to deceased Daughter
21. Place of burial Zion Cemetery, Payzant St. Liverpool
Date of burial 29 Apr 1970
22. Undertaker Chandler's Funeral Home, Liverpool
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 27, 1970
CAUSE OF DEATH
(a) Hypostatic pneum.
(b) Congestive [Heart Failure?]
(c) Myocardial Ischemia
other Gangrene left leg
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488504
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