Male Death Registration: Year: 1970 number: 4709
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004709
1. PLACE OF DEATH County of Shelburne If in City or Town Shelburne
3. PRINT NAME OF DECEASED Demings, Samuel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Newton, Massachusetts, USA
9. DATE OF BIRTH 8 28, 1890
10. AGE in Years79 Months10 Days28 | hrs or mins
11. Trade or profession Retired Construction Worker
12. Kind of industry
13. Date last worked 1945 14. Total years 25 years
15. If married name of spouse Mrs. Jennie Demings
16. NAME of Father Samuel Alexander Demings
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Cordelia MacGlonical
19. BIRTHPLACE Ireland
20. Signature of Informant Annie M. Weight
address Shelburne
Relationship to deceased None
21. Place of burial Catholic Cemetery, Shelburne
Date of burial 28 July 1970`
22. Undertaker Huskilsons Funeral Home, Shelburne
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 25, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Myocardial Ischemia
(c) Arteriosclerosis
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490018
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