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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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490485
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