Male Death Registration: Year: 1971 number: 1252
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001252
1. PLACE OF DEATH County of Halifax If in City or Town Lakeside
If death occured in a hospital or institution Green Road, Lakeside, Halifax County
3. PRINT NAME OF DECEASED Myra, John Edward
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 27, 1881
10. AGE in Years89 Months4 Days21 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years life
15. If married name of spouse Mary Rose Martin
16. NAME of Father Edward Charles Myra
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Cunningham
19. BIRTHPLACE Nova Scotia
20. Signature of Informant J. Albert Walker for Mrs. John Myra
address Green Road, Lakeside
Relationship to deceased wife
21. Place of burial Gate of Heaven, Lr. Sackville
Date of burial January 19, 1971
22. Undertaker J. Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 17, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c) Arteriosclerosis
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493330
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