Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Frederick William Pelley death at Halifax, Halifax County on January 20, 1971
Male Death Registration: Year: 1971 number: 1302
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001302
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Pelley, Frederick William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Guysborough
9. DATE OF BIRTH 4 7, 1897
10. AGE in Years73 Months9 Days13 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Dockyard
13. Date last worked 1962 14. Total years
15. If married name of spouse Dolena MacKinnon
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs. Dolena Pelley
address 2604 Gottingen St., Halifax
Relationship to deceased Wife
21. Place of burial Fairview Cem. Hfx.
Date of burial January 23, 1971
22. Undertaker Lindsay's Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 20, 1971
CAUSE OF DEATH
(a) Myocardial infarction
(b)
(c) arteriosclerosis
other
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