Male Death Registration: Year: 1970 number: 3890
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003890
1. PLACE OF DEATH County of Shelburne If in City or Town Shelburne
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED McKinley, Percy Robert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE New Brunswick
9. DATE OF BIRTH 8 17, 1897
10. AGE in Years72 Months8 Days23 | hrs or mins
11. Trade or profession Retired Ship Builder
12. Kind of industry
13. Date last worked 1960 14. Total years 19
15. If married name of spouse Adelia McKinley
16. NAME of Father George McKinley
17. BIRTHPLACE New Brunswick
18. NAME of Mother Matilda Hyslop
19. BIRTHPLACE New Brunswick
20. Signature of Informant Mrs Adelia McKinley
address Shelburne
Relationship to deceased Wife
21. Place of burial Pine Grove Cemetery, Shelb.
Date of burial May 13 1970
22. Undertaker Huskilson's Funeral Home, Shelb.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 10, 1970
CAUSE OF DEATH
(a) Pneumonia
(b) Carcinoma of Bronchus
(c) Bronchitis and Emphysema
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489200
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