Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Percy Collins Nickerson death at Sandy Point, Shelburne County on October 25, 1970
Male Death Registration: Year: 1970 number: 6494
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006494
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital
3. PRINT NAME OF DECEASED Nickerson, Percy Collins
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 17, 1889
10. AGE in Years81 Months3 Days8 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked 1962 14. Total years 54
15. If married name of spouse Evelyn Nickerson
16. NAME of Father Seth Nickerson
17. BIRTHPLACE
18. NAME of Mother Jane Nickerson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Gloria Decker
address Lockeport
Relationship to deceased Daughter
21. Place of burial Charles Harbor
Date of burial October 28 1970
22. Undertaker Kenney Funeral Service Shel Co
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 25, 1970
CAUSE OF DEATH
(a) Cerebral Vascular Axxuswbr
(b) Arterialsclerosis
(c)
other
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