Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Michael Nichols death at 240 Main St., Yarmouth, Yarmouth County on September 17, 1970
Male Death Registration: Year: 1970 number: 5814
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005814
1. PLACE OF DEATH County of Yarmouth If in City or Town 240 Main St., Yarmouth
3. PRINT NAME OF DECEASED Nichols, John Michael
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Lebanese
7. Single, Married
widowed
8. BIRTHPLACE Hadeth-el-joubbi
9. DATE OF BIRTH 7 17, 1876
10. AGE in Years94 Months2 Days0 | hrs or mins
11. Trade or profession merchant
12. Kind of industry
13. Date last worked 1958 14. Total years
15. If married name of spouse deceased
16. NAME of Father Michael Shradouir
17. BIRTHPLACE Hadeth-el-joubbi
18. NAME of Mother
19. BIRTHPLACE Hadeth-el-joubbi
20. Signature of Informant Dominic J. Nichols
address 240 Main St., Yarmouth
Relationship to deceased son
21. Place of burial Our Lady of Calvary Cemetery, Yarmouth
Date of burial Sept. 21, 1970
22. Undertaker Huskilson's Funeral Home, Albert Street, Yarmouth per G.A.Clements
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 17, 1970
CAUSE OF DEATH
(a) broncho pneumonia
(b) ASHD + failure
(c)
other Bronchitis Emphysema
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