Male Death Registration: Year: 1970 number: 3350
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003350
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional Hospital
3. PRINT NAME OF DECEASED Nickerson, Arthur
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 6, 1900
10. AGE in Years69 Months8 Days5 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked 1954 14. Total years 30
15. If married name of spouse
16. NAME of Father Lyman Nickerson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Carrie Crowell
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Gordon E Nickerson
address Central Woods Harbour
Relationship to deceased Brother
21. Place of burial Lower Woods Harbour
Date of burial May 15, 1970
22. Undertaker Kenney Funeral Service, Barrington, Shel. Co.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 11, 1970
CAUSE OF DEATH
(a) Coronary Thrombosis
(b) Pulmonary Emphysema
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488660
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