Male Death Registration: Year: 1970 number: 3748
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003748
1. PLACE OF DEATH County of Kings If in City or Town Kentville
If death occured in a hospital or institution B F M Hospital
3. PRINT NAME OF DECEASED Johnson, George William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE New Ross
9. DATE OF BIRTH 9 28, 1906
10. AGE in Years65 Months8 Days6 | hrs or mins
11. Trade or profession Service Station Attendent
12. Kind of industry
13. Date last worked May 4, 1970 14. Total years 13
15. If married name of spouse Amanda Howard
16. NAME of Father George William Johnson
17. BIRTHPLACE New Ross
18. NAME of Mother Beatrice Adelia Reeves
19. BIRTHPLACE New Ross
20. Signature of Informant Mr Harold Johnson
address Kentville
Relationship to deceased Brother
21. Place of burial Elm Grove Cemetery, Kentville
Date of burial June 6, 1970
22. Undertaker W C Hiltz Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 4, 1970
CAUSE OF DEATH
(a) Acute Lymphoma
(b)
(c)
other HCVD
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489058
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