Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Harold Ernest Vaughan death at Halifax, Halifax County on December 9, 1970

Male Death Registration: Year: 1970 number: 7247

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 007247

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

3. PRINT NAME OF DECEASED Vaughan, Harold Ernest

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

single

8. BIRTHPLACE East Port Medway, Queens Co.

9. DATE OF BIRTH 3  3, 1900

10. AGE in  Years70  Months9  Days6 | hrs or mins

11. Trade or profession Labourer

12. Kind of industry

13. Date last worked 1960       14. Total years

15. If married name of spouse

16. NAME of Father Eber Vaughan

17. BIRTHPLACE East Port Medway

18. NAME of Mother Lottie Parks

19. BIRTHPLACE East Port Medway

20. Signature of Informant Mrs. Fran Conrad

      address P.O. Box 1342, Liverpool, NS

      Relationship to deceased Daughter

21. Place of burial East Port Medway, NS

      Date of burial Dec. 12, 1970

22. Undertaker Chandler's Funeral Service Ltd

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH December 9, 1970

CAUSE OF DEATH

(a) Acute Cardiorespiratory Failure

(b) Uremia (mild)

(c) Carcinoma of Bladder & Left Urether

other Previous Right Nephroureterectomy

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492553

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