Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Frederick William Simmons death at Halifax, Halifax County on June 27, 1970

Male Death Registration: Year: 1970 number: 5832

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005832

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 Simmons, Frederick William

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

widowed

8. BIRTHPLACE St. John, New Brunswick

9. DATE OF BIRTH 11  12, 1890

10. AGE in  Years79  Months7  Days15 | hrs or mins

11. Trade or profession retired

12. Kind of industry checker

13. Date last worked 1960       14. Total years 10

15. If married name of spouse Clendon Simmons

16. NAME of Father Frederick Simmons

17. BIRTHPLACE St. John, New Brunswick

18. NAME of Mother Louise Webb

19. BIRTHPLACE England

20. Signature of Informant George Simmons

      address East Riverside, New Brunswick

      Relationship to deceased Brother

21. Place of burial Fernhill Crematorium

      Date of burial June 30, 1970

22. Undertaker Cruikshank Funeral Home Ltd.

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH June 27, 1970

CAUSE OF DEATH

(a) Bilateral Broncho pneumonia

(b)

(c)

other

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