Male Death Registration: Year: 1971 number: 1356
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001356
1. PLACE OF DEATH County of Cumberland If in City or Town Pugwash
If death occured in a hospital or institution North Cumberland Memorial
3. PRINT NAME OF DECEASED Embree, Elmer Purdy
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Lorneville
9. DATE OF BIRTH 9 29, 1878
10. AGE in Years92 Months3 Days17 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked 1960 14. Total years 61
15. If married name of spouse
16. NAME of Father Elijah Purdy
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Robertson
19. BIRTHPLACE New Brunswick
20. Signature of Informant Victor Embree
address Amherst Shore, Nova Scotia
Relationship to deceased Son
21. Place of burial Lorneville
Date of burial January 19, 1971
22. Undertaker W.I. Mundle, Pugwash, Nova Scotia
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 16, 1971
CAUSE OF DEATH
(a) Arteriosclerotic heart disease
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493434
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