Male Death Registration: Year: 1970 number: 5971
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005971
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 Schurman, Bertrand Lloyd
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Springhill
9. DATE OF BIRTH 4 5, 1895
10. AGE in Years75 Months6 Days2 | hrs or mins
11. Trade or profession retired clerk
12. Kind of industry Scotia Sprinklers
13. Date last worked 1967 14. Total years 12
15. If married name of spouse Mabel Schurman
16. NAME of Father Jesse James Schurman
17. BIRTHPLACE Pugwash
18. NAME of Mother Laura Creelman
19. BIRTHPLACE Bass River
20. Signature of Informant Donald M Schurman
address 3095 Oland St. Halifax
Relationship to deceased son
21. Place of burial Dalhousie Autonomy Department
Date of burial October 8, 1970
22. Undertaker Cruikshank Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 7, 1970
CAUSE OF DEATH
(a) Cardiac arrest
(b) Coronary artery occlusion
(c) 5 days after surgery for aortic aneurysm
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491279
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