Male Death Registration: Year: 1970 number: 5779
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005779
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital
3. PRINT NAME OF DECEASED Powell, James Michael
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE West Gore
9. DATE OF BIRTH 1 14, 1876
10. AGE in Years94 Months8 Days12 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Carpenter
13. Date last worked 1950 14. Total years Life
15. If married name of spouse Katherine Powell - Deceased
16. NAME of Father Henry H. Powell
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary E. Kaley
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Glen Powell
address West Gore
Relationship to deceased Son
21. Place of burial Church of Christ, West Gore
Date of burial September 29, 1970
22. Undertaker Withrow - McMillan
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 26, 1970
CAUSE OF DEATH
(a) Arteriosclerotic - Heart Disease - years
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491087
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