Male Death Registration: Year: 1970 number: 7209
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007209
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Bristol, Michael Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Weymouth, NS
9. DATE OF BIRTH 11 19, 1878
10. AGE in Years92 Months0 Days20 | hrs or mins
11. Trade or profession House Painter
12. Kind of industry
13. Date last worked 30 yrs ago 14. Total years life
15. If married name of spouse Emma Bristol
16. NAME of Father George Bristol
17. BIRTHPLACE NS
18. NAME of Mother Anna Anfield
19. BIRTHPLACE NS
20. Signature of Informant William H Bristol
address 49 Hickman St, Amherst, NS
Relationship to deceased Grandson
21. Place of burial St Charles Cemetery, Amherst, NS
Date of burial Dec 11/70
22. Undertaker Furlong's Funeral Home Ltd, Amherst, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 9, 1970
CAUSE OF DEATH
(a) coronary thrombosis
(b) unresolved pneumonia
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492515
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