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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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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