Male Death Registration: Year: 1971 number: 1338
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001338
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED Kaiser, Ellis Whitman
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Port Bickerton
9. DATE OF BIRTH 6 28, 1918
10. AGE in Years58 Months6 Days26 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Alice Kaiser
16. NAME of Father Whitman Kaiser
17. BIRTHPLACE Port Bickerton
18. NAME of Mother Annie Williams
19. BIRTHPLACE England
20. Signature of Informant Alice Kaiser
address Port Bickerton
Relationship to deceased Wife
21. Place of burial Port Bickerton
Date of burial January 26, 1971
22. Undertaker Veinotte & Sons Funeral Service Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 23, 1971
CAUSE OF DEATH
(a) Generalized Carcinomatosis from Carcinoma of Large Intestines
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493416
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