Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Douglas David McKim death at Amherst, Cumberland County on June 30, 1970
Male Death Registration: Year: 1970 number: 4180
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004180
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED McKim, Douglas David
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Streets Ridge, Cumberland County
9. DATE OF BIRTH 12 10, 1890
10. AGE in Years79 Months6 Days20 | hrs or mins
11. Trade or profession Blacksmith
12. Kind of industry
13. Date last worked 1955 14. Total years 50
15. If married name of spouse
16. NAME of Father Elias McKim
17. BIRTHPLACE
18. NAME of Mother Mary E Chadwick
19. BIRTHPLACE
20. Signature of Informant illegible McKim
address 5 Albion St, Amherst
Relationship to deceased Nephew
21. Place of burial Highland View Cemetery, Amherst
Date of burial July 2 1970
22. Undertaker R A Furlong, Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 30, 1970
CAUSE OF DEATH
(a) Pneumonia
(b) Anemia
(c) Chronic Heart Failure
other Age
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