Male Death Registration: Year: 1970 number: 5119
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005119
1. PLACE OF DEATH County of Hants If in City or Town Shubenacadie
3. PRINT NAME OF DECEASED Scott, Norman Melrose
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 7, 1898
10. AGE in Years71 Months9 Days16 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry Retired Pensioner
13. Date last worked 1962 14. Total years Life
15. If married name of spouse Harriett Scott
16. NAME of Father Hiram Scott
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ethel Harley
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Harriett Scott
address Shubenacadie
Relationship to deceased Wife
21. Place of burial Valley Cemetery, Colchester
Date of burial August 25, 1970
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 23, 1970
CAUSE OF DEATH
(a) Coronary Thrombosis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490427
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