Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Samuel Emerson death at Halifax, Halifax County on September 1, 1970
Male Death Registration: Year: 1970 number: 5454
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005454
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Emerson, Samuel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Dunbarton, Scotland
9. DATE OF BIRTH 5 21, 1895
10. AGE in Years75 Months3 Days10 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Mrs Barbara Emerson
16. NAME of Father John Emerson
17. BIRTHPLACE Scotland
18. NAME of Mother Annie MacMillan
19. BIRTHPLACE Scotland
20. Signature of Informant Mrs Barbara Emerson
address 467 Cole Ave, Ottawa, Ont
Relationship to deceased wife
21. Place of burial Capital Cemetery, Ottawa
Date of burial 2 Sept 1970
22. Undertaker A.L. Mattatall Funeral Service Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 1, 1970
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b)
(c)
other Pneumo-hemathorax
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