Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Samuel Joseph Allen death at Yarmouth, Yarmouth County on September 11, 1970
Male Death Registration: Year: 1970 number: 5811
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005811
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution 92 Main St
3. PRINT NAME OF DECEASED Allen, Samuel Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Lebanese
7. Single, Married
single
8. BIRTHPLACE New Glasgow
9. DATE OF BIRTH 6 14, 1911
10. AGE in Years59 Months2 Days28 | hrs or mins
11. Trade or profession Taxi Driver
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Joseph Allen
17. BIRTHPLACE Lebenon
18. NAME of Mother Amelia Sapp
19. BIRTHPLACE Lebenon
20. Signature of Informant Rufus J. Allen
address 106 Main St., Yarmouth
Relationship to deceased Brother
21. Place of burial Yarmouth
Date of burial September 14, 1970
22. Undertaker Sweenys Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 11, 1970
CAUSE OF DEATH
(a) Myocardial Infarction Inst.
(b)
(c)
other
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