Male Death Registration: Year: 1970 number: 3345
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003345
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital
3. PRINT NAME OF DECEASED Atkinson, Foreman James
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 18, 1894
10. AGE in Years75 Months11 Days23 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry
13. Date last worked October 1968 14. Total years 21 years
15. If married name of spouse Hazel Atkinson
16. NAME of Father James Atkinson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Zelpha Ross
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Hazel Atkinson
address Shelburne
Relationship to deceased Wife
21. Place of burial The Hawk
Date of burial May 13, 1970
22. Undertaker Kenney Funeral Service, Barrington
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 11, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Myocardial Ischema
(c) Previous Myocardial Infarction
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488655
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