Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Martin Frederick Fultz death at Halifax, Halifax County on November 13, 1970

Male Death Registration: Year: 1970 number: 6639

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 006639

1. PLACE OF DEATH   County of Halifax If in City or Town Halifax
If death occured in a hospital or institution at home

3. PRINT NAME OF DECEASED Fultz, Martin Frederick

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

German

7. Single, Married

single

8. BIRTHPLACE Halifax

9. DATE OF BIRTH 11  11, 1910

10. AGE in  Years60  Months0  Days2 | hrs or mins

11. Trade or profession Steam Fitter

12. Kind of industry Powers Bros. Ltd

13. Date last worked Apr. 1970       14. Total years 25

15. If married name of spouse

16. NAME of Father Joseph H Fultz

17. BIRTHPLACE Halifax

18. NAME of Mother Mary Brown

19. BIRTHPLACE Halifax

20. Signature of Informant Mrs. Philip Edwards

      address 6235 Cedar St., Halifax

      Relationship to deceased sister

21. Place of burial Mount Olivet Cemetery, Halifax

      Date of burial Nov. 17th, 1970

22. Undertaker Halifax Funeral Home Ltd.

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH November 13, 1970

CAUSE OF DEATH

(a) coronary occlusion

(b)

(c) arteriosclerosis

other

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