Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Fred Owen Pulsifer death at Wolfville, Kings County on January 19, 1971

Male Death Registration: Year: 1971 number: 1376

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 001376

1. PLACE OF DEATH   County of Kings If in City or Town Wolfville
If death occured in a hospital or institution E.K.M. Hospital

3. PRINT NAME OF DECEASED Pulsifer, Fred Owen

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

German

7. Single, Married

married

8. BIRTHPLACE Greenwich, Kings County

9. DATE OF BIRTH 8  7, 1912

10. AGE in  Years58  Months5  Days12 | hrs or mins

11. Trade or profession Flourist

12. Kind of industry

13. Date last worked 1971       14. Total years

15. If married name of spouse Rowena Misner

16. NAME of Father Howard H. Pulsifer

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Neily Clowery

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Mrs. Rowena Pulsifer

      address Greenwich, Kings Co.

      Relationship to deceased Wife

21. Place of burial Willowbank Cem., Wolfville

      Date of burial January 20, 1971

22. Undertaker H.C. Lindsay Funeral Home, Wolfville

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH January 19, 1971

CAUSE OF DEATH

(a) Acute Renal Failure

(b) Diabetes Mellitus with

(c) ASHD & Nephropathy

other Chronic Uremia

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