Male Death Registration: Year: 1970 number: 4679
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004679
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital
3. PRINT NAME OF DECEASED Mason, Ralph Manning
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Upper Sackville
9. DATE OF BIRTH 5 26, 1938
10. AGE in Years32 Months1 Days17 | hrs or mins
11. Trade or profession Machine Operator
12. Kind of industry
13. Date last worked 1970 14. Total years Life
15. If married name of spouse
16. NAME of Father Howard Mason
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Nettie Wier
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Howard Mason
address RR #1, Mt. Uniacke
Relationship to deceased Father
21. Place of burial Central Rawdon, Hants Co.
Date of burial 15 July 1970
22. Undertaker Withrow - MacMillan, Upper Rawdon
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 13, 1970
CAUSE OF DEATH
(a) Pulmonary Edema
(b) Crushed Chest and Rupture of Liver
(c)
other accident - Truck slipped off wet road
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489988
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