Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Colin Roger Wagner death at Halifax, Halifax County on January 26, 1971

Male Death Registration: Year: 1971 number: 1325

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 001325

1. PLACE OF DEATH   County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary Hospital

3. PRINT NAME OF DECEASED Wagner, Colin Roger

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

Caucasian

7. Single, Married

married

8. BIRTHPLACE Lunenburg County

9. DATE OF BIRTH 12  8, 1917

10. AGE in  Years53  Months1  Days18 | hrs or mins

11. Trade or profession Carpenter and Truck Driver

12. Kind of industry

13. Date last worked 1969       14. Total years 30

15. If married name of spouse Mrs. Elsie Wagner

16. NAME of Father Jerimah Wagner

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Theresa Mosher

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Mrs. I. Finlayson

      address Middleton, RR#3

      Relationship to deceased Daughter

21. Place of burial Nictaux

      Date of burial January 30, 1971

22. Undertaker Frederick H. Roop Funeral Service, Middleton

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH January 26, 1971

CAUSE OF DEATH

(a) Mesothelioma

(b) Metastases in lungs

(c)

other Phlebothrombosis Pleural Effusion

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493403

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