Male Death Registration: Year: 1971 number: 1130
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001130
1. PLACE OF DEATH County of Halifax If in City or Town Sheet Harbour
If death occured in a hospital or institution Eastern Shore Memorial Hospital
3. PRINT NAME OF DECEASED Monk, Belville Sanford
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 15, 1910
10. AGE in Years60 Months9 Days27 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry Fishing
13. Date last worked June 1970 14. Total years 40
15. If married name of spouse Etta Monk
16. NAME of Father Willis Monk
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Catherine Murphy
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Etta Monk
address Murphy Cove, Nova Scotia
Relationship to deceased Wife
21. Place of burial East Ship Harbour, Nova Scotia
Date of burial January 14, 1971
22. Undertaker Rowlings Funeral Service, Musquodoboit Harbour Musquodoboit Harbour, Nova Scotia
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 11, 1971
CAUSE OF DEATH
(a) Cancer Maxilla
(b) Bronchitis
(c) Esophageal Stricture
other Anemia Right Eye Blind
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493208
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