Male Death Registration: Year: 1970 number: 4191
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004191
1. PLACE OF DEATH County of Halifax If in City or Town Middle Musquodobit
If death occured in a hospital or institution Musquodoboit Valley Memorial Hospital
3. PRINT NAME OF DECEASED Graham, Allan
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 15, 1902
10. AGE in Years68 Months Days14 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Annabelle
16. NAME of Father George Graham
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Melina Harrison
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Allan Graham
address Newton Mills, Col Co
Relationship to deceased Wife
21. Place of burial Riverside Cemetery, Up Stewiacke
Date of burial July 2 1970
22. Undertaker Mattatall Funeral Home, Truro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 29, 1970
CAUSE OF DEATH
(a) Pulmonary Emphysema & Edema
(b) Bronchial Asthma
(c) Rt Heart Failure
other Cirrhosis Liver Secondary Heart Failure
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489500
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