Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Calvin Fredericks death at Halifax, Halifax County on November 4, 1970
Male Death Registration: Year: 1970 number: 6518
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006518
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camphill Hospital
3. PRINT NAME OF DECEASED Fredericks, Calvin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 6, 1896
10. AGE in Years74 Months5 Days29 | hrs or mins
11. Trade or profession retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Bessie Jones Fredericks
16. NAME of Father Amos Fredericks
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Camilla Richardson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant James S Fredericks
address 50 Wms Lake Rd. Halifax
Relationship to deceased son
21. Place of burial Hillcrest Cemetery LR Sack.
Date of burial Nov. 7, 1970
22. Undertaker J Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 4, 1970
CAUSE OF DEATH
(a) Coronary arteriosclerosis
(b)
(c)
other congestive heart failure
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