Male Death Registration: Year: 1970 number: 3894
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003894
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 Barkhouse, Ira Alvin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 16, 1895
10. AGE in Years74 Months8 Days27 | hrs or mins
11. Trade or profession Janitor
12. Kind of industry
13. Date last worked 1962 14. Total years 20
15. If married name of spouse Hazel Barkhouse
16. NAME of Father Samuel Barkhouse
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ella Hallamore
19. BIRTHPLACE Nova Scotia
20. Signature of Informant William Barkhouse
address 273 Tweed St., Cobourg, Ont.
Relationship to deceased Son
21. Place of burial Pine Grove Cemetery, Shelb.
Date of burial June 15 1970
22. Undertaker Huskilson's Funeral Home, Shelb.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 13, 1970
CAUSE OF DEATH
(a) Cardiovascular Accident
(b)
(c)
other Previous CVA
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489204
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