Male Death Registration: Year: 1971 number: 1136
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001136
1. PLACE OF DEATH County of Inverness If in City or Town Port Hawkesbury
3. PRINT NAME OF DECEASED Harriman, Beverley Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE New Brunswick
9. DATE OF BIRTH 10 19, 1904
10. AGE in Years66 Months2 Days21 | hrs or mins
11. Trade or profession Clerk
12. Kind of industry Stockroom
13. Date last worked January 9, 1971 14. Total years 1
15. If married name of spouse Mae Harriman
16. NAME of Father Aloysius Harriman
17. BIRTHPLACE New Brunswick
18. NAME of Mother Mary Blake
19. BIRTHPLACE New Brunswick
20. Signature of Informant Mrs. Mae Harriman
address Harold Street, Port Hawkesbury, N. S
Relationship to deceased wife
21. Place of burial Port Hawkesbury, NN. S
Date of burial January 12, 1971
22. Undertaker Port Hawkesbury
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 9, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493214
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