Male Death Registration: Year: 1970 number: 7744
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007744
1. PLACE OF DEATH County of Kings If in City or Town Kentville
If death occured in a hospital or institution Nova Scotia Sanatorium
3. PRINT NAME OF DECEASED Poole, Warren
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 27, 1883
10. AGE in Years87 Months1 Days30 | hrs or mins
11. Trade or profession CPR employee retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Samuel Poole
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ellen Englenol
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Nova Scotia Sanatorium Records
address
Relationship to deceased
21. Place of burial Chebogue
Date of burial December 2, 1970
22. Undertaker Sweenys Funeral Home, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 30, 1970
CAUSE OF DEATH
(a) Pulmonary fatique
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493050
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