Male Death Registration: Year: 1971 number: 1271
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001271
1. PLACE OF DEATH County of Lunenburg If in City or Town Mill Cove
3. PRINT NAME OF DECEASED Johnson, Harlie Welling
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 22, 1896
10. AGE in Years74 Months8 Days28 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Fisherman
13. Date last worked 1966 14. Total years Life
15. If married name of spouse Mrs. Mabel Johnson
16. NAME of Father Simeon George Johnson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Geneva Jollymore
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mabel R. Johnson
address Mill Cove
Relationship to deceased Wife
21. Place of burial Fox Point
Date of burial 21 January 1971
22. Undertaker MacDonald Funeral Home, Hubbards
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 19, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Arteriosclerotic heart disease
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493349
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