Male Death Registration: Year: 1970 number: 3995
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003995
1. PLACE OF DEATH County of Lunenburg If in City or Town Mahone Bay
If death occured in a hospital or institution Mahone Nursing Home
3. PRINT NAME OF DECEASED Countway, Kenneth Albert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 28, 1889
10. AGE in Years81 Months1 Days29 | hrs or mins
11. Trade or profession Retired.
12. Kind of industry
13. Date last worked 1960 14. Total years
15. If married name of spouse Ethel Countway.
16. NAME of Father Albert Countway.
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Matilda Oxner
19. BIRTHPLACE Nova Scotia
20. Signature of Informant George Countway
address Chester Basin
Relationship to deceased Son.
21. Place of burial Chester Basin
Date of burial June 28th, 1970
22. Undertaker Davis Funeral Home. Chester
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 26, 1970
CAUSE OF DEATH
(a) Bronchopneumonia
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489305
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