Male Death Registration: Year: 1970 number: 3487
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003487
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution Colchester Hospital
3. PRINT NAME OF DECEASED Monks, Thomas Nicholas
4. Sex
Male
5. Citizenship
American
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Portland, Oregon, USA
9. DATE OF BIRTH 6 18, 1885
10. AGE in Years84 Months11 Days4 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 1964 14. Total years
15. If married name of spouse Blanche Wormouth
16. NAME of Father James Monks
17. BIRTHPLACE USA
18. NAME of Mother Mary O'Leary
19. BIRTHPLACE USA
20. Signature of Informant Mrs A Tooms
address 3504 Bedford Hwy, Halifax
Relationship to deceased Grand Daughter
21. Place of burial Fernhill Cemetery, St John, New Brunswick
Date of burial May 26, 1970
22. Undertaker Lindsay's, Bedford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 22, 1970
CAUSE OF DEATH
(a) Cerebro vascular accident
(b) Arteriosclerosis
(c) old age
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488797
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