Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Douglas Carl Poole death at Halifax, Halifax County on December 14, 1970
Male Death Registration: Year: 1970 number: 7169
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007169
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Poole, Douglas Carl
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 9 6, 1917
10. AGE in Years53 Months3 Days8 | hrs or mins
11. Trade or profession Leasee of Service Station
12. Kind of industry
13. Date last worked 1962 14. Total years 3
15. If married name of spouse Margaret Poole
16. NAME of Father Kenneth Poole
17. BIRTHPLACE Newfoundland
18. NAME of Mother Maggie Wentzell
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Margaret Poole
address 995 Mitchell St., Halifax
Relationship to deceased Wife
21. Place of burial St. John's Cemetery, Halifax, NS
Date of burial Dec 16-1970
22. Undertaker Cruikshank Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 14, 1970
CAUSE OF DEATH
(a) Myocardial infraction due to arteriosclerosis
(b)
(c)
other Wernicke's encephalopathy
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