Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Levi Nickerson death at Clam Point, Shelburne County on August 11, 1970
Male Death Registration: Year: 1970 number: 4987
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004987
1. PLACE OF DEATH County of Shelburne If in City or Town Clam Point
3. PRINT NAME OF DECEASED Nickerson, Levi
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 2, 1880
10. AGE in Years90 Months3 Days9 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked 1940 14. Total years 45
15. If married name of spouse Josephine
16. NAME of Father Ephrium Nickerson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Janet Griffith
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Josephine Nickerson
address Clam Point, Shelbourne Co.
Relationship to deceased wife
21. Place of burial Stoney Island
Date of burial August 14, 1970
22. Undertaker Kenney Funeral Service, Barrington
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 11, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Atherosclerosis
(c)
other
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