Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Harold Howe Bruhm death at Bridgewater, Lunenburg County on January 28, 1971
Male Death Registration: Year: 1971 number: 1385
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001385
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution D.M. Hospital
3. PRINT NAME OF DECEASED Bruhm, Harold Howe
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 7, 1894
10. AGE in Years76 Months2 Days22 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Farming
13. Date last worked 14. Total years
15. If married name of spouse Lottie Bruhm
16. NAME of Father Edwin Bruhm
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Laura Millburg
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Rex Bruhm
address West Northfield, Lun. Co.
Relationship to deceased Son
21. Place of burial West Northfield, Lun. Co.
Date of burial January 30, 1971
22. Undertaker Charles Sweeny, B'water
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 28, 1971
CAUSE OF DEATH
(a) Chronic Myelogenous Leukemia
(b)
(c)
other
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