Male Death Registration: Year: 1970 number: 4296
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004296
1. PLACE OF DEATH County of Cumberland If in City or Town Pugwash
If death occured in a hospital or institution Sunset Villa Nursing Home
3. PRINT NAME OF DECEASED Canfield, Moris Andrew
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Malagash Station
9. DATE OF BIRTH 5 24, 1895
10. AGE in Years75 Months Days24 | hrs or mins
11. Trade or profession Laborer
12. Kind of industry
13. Date last worked 1962 14. Total years 45
15. If married name of spouse
16. NAME of Father Willwood Canfield
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Catherine MacLeod
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Edward Canfield
address Malagash
Relationship to deceased Brother
21. Place of burial Malagash
Date of burial June 19 1970
22. Undertaker W. Mundle, Pugwash
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 17, 1970
CAUSE OF DEATH
(a) Arteriosclerotic Heart Disease
(b)
(c)
other Mental Deficiency
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489605
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