Male Death Registration: Year: 1970 number: 5803
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005803
1. PLACE OF DEATH County of Lunenburg If in City or Town Bakers Settlement
If death occured in a hospital or institution At home
3. PRINT NAME OF DECEASED Seamone, Bert Dean
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 16, 1914
10. AGE in Years56 Months1 Days16 | hrs or mins
11. Trade or profession Farming
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Davis Seamone
16. NAME of Father Dean Seamone
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Maude Mailman
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Davis Seamone
address RR #5 B'water
Relationship to deceased Wife
21. Place of burial Bahei settlement Cementery, Lun. Co.
Date of burial October 4, 1970
22. Undertaker Charles Sweeney, B'Water
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 2, 1970
CAUSE OF DEATH
(a) Generalized carcinomatosis
(b) Carcinoma or rectum
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491111
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