Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

George William Johnson death at Kentville, Kings County on June 4, 1970

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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