Male Death Registration: Year: 1970 number: 3770
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003770
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital
3. PRINT NAME OF DECEASED Acker, Xenophon Xerxes
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 31, 1884
10. AGE in Years85 Months10 Days2 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 1950 14. Total years
15. If married name of spouse Mrs. Elizabeth Rollinson
16. NAME of Father Milton Acker
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Maisy Jane Acker
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Alfred A. Acker
address Birchtown
Relationship to deceased Son
21. Place of burial Birchtown
Date of burial June 4, 1970
22. Undertaker Huskilson's Funeral Home, Shelburne
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 2, 1970
CAUSE OF DEATH
(a) Cerebro-Vascular Accident
(b) Arteriosclerosis
(c) Diabetes Mellitus
other Multiple infected abrasions
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489080
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