Male Death Registration: Year: 1970 number: 3401
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003401
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Conrad, Douglas Mervin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Petite Riviere
9. DATE OF BIRTH 12 28, 1919
10. AGE in Years50 Months4 Days22 | hrs or mins
11. Trade or profession Painter
12. Kind of industry Painting houses etc
13. Date last worked October 1969 14. Total years 10
15. If married name of spouse Mrs Margaret Conrad
16. NAME of Father Mr Frafton Conrad
17. BIRTHPLACE Cherry Hill
18. NAME of Mother Miss Etta Mosher
19. BIRTHPLACE Petite Riviere
20. Signature of Informant Mrs Douglas Conrad
address Petite Riviere, Lun. Co.
Relationship to deceased Wife
21. Place of burial Petite Riviere, Lun. Co.
Date of burial May 23, 1970
22. Undertaker Stan N Wamback, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 20, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Aortic Sclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488711
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