Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Frank Vanbuskirk death at Windsor, Hants County on October 28, 1970
Male Death Registration: Year: 1970 number: 6467
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006467
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution P. M.(Payzant Memorial) Hospital, Windsor
3. PRINT NAME OF DECEASED Vanbuskirk, Frank
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
single
8. BIRTHPLACE Bloomfield
9. DATE OF BIRTH 5 6, 1893
10. AGE in Years77 Months5 Days22 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Farmer
13. Date last worked 1940 14. Total years
15. If married name of spouse
16. NAME of Father William Van Buskirk
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Melissa Wilson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Adelbert Van Buskirk
address Bloomfield
Relationship to deceased Nephew
21. Place of burial Bloomfield
Date of burial October 31, 1970
22. Undertaker R.W. Jayne, Digby
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 28, 1970
CAUSE OF DEATH
(a) Cerebrovascular Accident (CVA)
(b) Arteriosclerosis
(c)
other
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