Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

James Bernard Allen death at Yarmouth, Yarmouth County on August 17, 1970

Male Death Registration: Year: 1970 number: 5177

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005177

1. PLACE OF DEATH   County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital

3. PRINT NAME OF DECEASED Allen, James Bernard

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

widowed

8. BIRTHPLACE Melbourne

9. DATE OF BIRTH 11  2, 1899

10. AGE in  Years80  Months9  Days15 | hrs or mins

11. Trade or profession Farmer

12. Kind of industry

13. Date last worked       14. Total years

15. If married name of spouse

16. NAME of Father William G. Allen

17. BIRTHPLACE Yarmouth County

18. NAME of Mother Sarah Mood

19. BIRTHPLACE Yarmouth County

20. Signature of Informant Albert V. King

      address Brooklyn, Yar. Co.

      Relationship to deceased Friend

21. Place of burial Brooklyn, Yar. Co.

      Date of burial August 19, 1970

22. Undertaker Sweeny's Funeral Home, Yarmouth

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH August 17, 1970

CAUSE OF DEATH

(a) Cancer urinary bladder

(b)

(c)

other Anaemia

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