Male Death Registration: Year: 1970 number: 4072
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004072
1. PLACE OF DEATH County of Guysborough If in City or Town Country Harbour
3. PRINT NAME OF DECEASED Mason, Albert Faulkner
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 27, 1896
10. AGE in Years73 Months6 Days25 | hrs or mins
11. Trade or profession Laborer
12. Kind of industry
13. Date last worked 1960 14. Total years life
15. If married name of spouse Nena May Mason
16. NAME of Father Albert Mason
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Victoria Horton
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Euna Sutherland
address Country Harbour Cross Rds, Guys Co
Relationship to deceased Sister-in-law
21. Place of burial Country Hbr Mines, Guys Co
Date of burial June 24 1970
22. Undertaker G Parker Giffin, Goldboro, Guys Co
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 21, 1970
CAUSE OF DEATH
(a) Hemopericardium
(b) Dissecting Aneurysm of Aorta
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489381
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