Male Death Registration: Year: 1971 number: 1309
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001309
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Johnson, Arnold Bertram
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Camperdown, Lun. County
9. DATE OF BIRTH 10 15, 1906
10. AGE in Years64 Months3 Days8 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry Carpentry, Brady's Ltd.
13. Date last worked December 1970 14. Total years 9
15. If married name of spouse Mrs. Julia (Weagle) Johnson
16. NAME of Father Arkanas Johnson
17. BIRTHPLACE Hebb's Cross, Lun. Co.
18. NAME of Mother Fannie Croft
19. BIRTHPLACE Camperdown, Lun. Co.
20. Signature of Informant Mrs. Arnold Johnson
address Middlewood, RR#1, Italy Cross
Relationship to deceased wife
21. Place of burial Middlewood, Lun. Co.
Date of burial January 27, 1971
22. Undertaker Stan. N. Wamback, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 23, 1971
CAUSE OF DEATH
(a) Septicemia due to bilateral bronchopneumonia
(b) Thrombocytopenia
(c) Bone marrow hypoplasia
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493387
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