Male Death Registration: Year: 1970 number: 7222
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007222
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Wambolt, James Foster
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Southville, NS
9. DATE OF BIRTH 11 23, 1919
10. AGE in Years51 Months Days21 | hrs or mins
11. Trade or profession Chauffeur
12. Kind of industry
13. Date last worked 1965 14. Total years 22
15. If married name of spouse Evelyn Wambolt
16. NAME of Father Thomas Wambolt
17. BIRTHPLACE NS
18. NAME of Mother Emma
19. BIRTHPLACE NS
20. Signature of Informant Mrs. Evelyn Wambolt
address Apt 409, 4000 Lawrence Ave. East, West Hill, Ont.
Relationship to deceased Wife
21. Place of burial St. John's Cemetery, Halifax, NS
Date of burial Dec 17, 1970
22. Undertaker Cruikshank Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 14, 1970
CAUSE OF DEATH
(a) Asphyxiation
(b) Hanging
(c)
other Suicide
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492528
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