Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Maurice Elmer Fancy death at South Brookfield, Queens County on July 25, 1970
Male Death Registration: Year: 1970 number: 4702
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004702
1. PLACE OF DEATH County of Queens If in City or Town South Brookfield
3. PRINT NAME OF DECEASED Fancy, Maurice Elmer
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE North Brookfield
9. DATE OF BIRTH 4 14, 1885
10. AGE in Years85 Months3 Days11 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 1950 14. Total years
15. If married name of spouse Mary Emily Fancy
16. NAME of Father Joseph Fancy
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Olivia Weagle
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Maurice Fancy
address South Brookfield, Queens Co.
Relationship to deceased Wife
21. Place of burial North Brookfield, Queens Co.
Date of burial 27 July 1970
22. Undertaker Chandler's Funeral Home, Liverpool
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 25, 1970
CAUSE OF DEATH
(a) Myocardial Insufficiency
(b) Generalized Atherosclerosis
(c)
other Several Small Cerebrovascular Accidents
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