Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Harry James Shaw death at Yarmouth, Yarmouth County on January 10, 1971
Male Death Registration: Year: 1971 number: 1172
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001172
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Shaw, Harry James
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Arcadia, Yarmouth County
9. DATE OF BIRTH 4 28, 1910
10. AGE in Years60 Months8 Days13 | hrs or mins
11. Trade or profession Nova Scotia Light & Power
12. Kind of industry
13. Date last worked Retired 14. Total years
15. If married name of spouse Flora Shaw
16. NAME of Father Harry J. Shawn
17. BIRTHPLACE Arcadia
18. NAME of Mother Gertrude Berry
19. BIRTHPLACE Yarmouth Co.
20. Signature of Informant Flora Shaw
address Pubnico, Yarmouth Co.
Relationship to deceased Wife
21. Place of burial Yarmouth
Date of burial January 13, 1971
22. Undertaker Sweeny's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 10, 1971
CAUSE OF DEATH
(a) ?Cerebro Vasc. accident
(b) ?Athersclerosis
(c)
other ASHD
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