Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Earl Leon Freeman death at Caledonia, Queens County on January 16, 1971
Male Death Registration: Year: 1971 number: 1280
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001280
1. PLACE OF DEATH County of Queens If in City or Town Caledonia
If death occured in a hospital or institution North Queens Nursing Home Inc.
3. PRINT NAME OF DECEASED Freeman, Earl Leon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Greenfield
9. DATE OF BIRTH 4 25, 1885
10. AGE in Years85 Months8 Days22 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Farmer
13. Date last worked 1952 14. Total years
15. If married name of spouse Susie Blanche Freeman
16. NAME of Father Parker Freeman
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant (Mrs.) Geraldine Y. Mersiur
address 2 Senio Loop, Borden, Ont.
Relationship to deceased daughter
21. Place of burial Greenfield, Queens Co.
Date of burial January 18, 1971
22. Undertaker Chandlers' Funeral Home, Liverpool
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 16, 1971
CAUSE OF DEATH
(a) Massive gastric haemorrhage
(b) Acute gastro-enteritis
(c) Myocardial insufficiency
other CVA with hemipareisis
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