Male Death Registration: Year: 1970 number: 5354
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005354
1. PLACE OF DEATH County of Annapolis If in City or Town Middleton
If death occured in a hospital or institution Solders Memorial Hospital, Middleton
3. PRINT NAME OF DECEASED Annis, Harry Bogart
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Lawrencetown
9. DATE OF BIRTH 9 17, 1872
10. AGE in Years97 Months10 Days25 | hrs or mins
11. Trade or profession
12. Kind of industry Harness maker
13. Date last worked 1968 14. Total years Life
15. If married name of spouse Laura (Barteaux) Annis
16. NAME of Father Henry Annis
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Laura Cushing
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Laura Annis
address Bridgetown, Anna Co
Relationship to deceased Wife
21. Place of burial Brighton
Date of burial August 14, 1970
22. Undertaker Bridgetown Funeral Home, Bridgetown,NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 11, 1970
CAUSE OF DEATH
(a)
(b) Fractured hip
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490662
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