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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