Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Lawrence VanBuskirk death at Sheet Harbour, Halifax County on May 3, 1970
Male Death Registration: Year: 1970 number: 3305
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003305
1. PLACE OF DEATH County of Halifax If in City or Town Sheet Harbour
If death occured in a hospital or institution Eastern Shore Mem. Hospital
3. PRINT NAME OF DECEASED VanBuskirk, Charles Lawrence
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 14, 1909
10. AGE in Years60 Months11 Days19 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry Fishing
13. Date last worked 4 weeks 14. Total years Life
15. If married name of spouse Naomi Murphy
16. NAME of Father Harry Buskirk
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Alva Murphy
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Naomi VanBuskirk
address Murphy Cove, Halifax Co.
Relationship to deceased Wife
21. Place of burial St. Peters Church Cemetery, Murphy Cove, Halifax Co.
Date of burial May 6, 1970
22. Undertaker Parker Hamilton, Sheet Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 3, 1970
CAUSE OF DEATH
(a) Rupture of heart
(b) myocardial infarction
(c) osteriosclerosis
other
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