Male Death Registration: Year: 1970 number: 3498
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003498
1. PLACE OF DEATH County of Halifax If in City or Town Bedford
If death occured in a hospital or institution Waverly Road, Bedford
3. PRINT NAME OF DECEASED Ferguson, Samuel Heber
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Guysborough
9. DATE OF BIRTH 12 16, 1913
10. AGE in Years56 Months5 Days4 | 0 hrs or 0 mins
11. Trade or profession L. E. Shaw Ltd.
12. Kind of industry
13. Date last worked 1970 14. Total years 4
15. If married name of spouse Mary Chisholm
16. NAME of Father Heuer Ferguson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Charlotte Akines
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Mary Ferguson
address Site 12, Bedford
Relationship to deceased Wife
21. Place of burial Interval Cemetery, North Guysborough
Date of burial May 23, 1970
22. Undertaker R. D. Lindsay Funeral Home Ltd., Bedford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 20, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488808
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