Male Death Registration: Year: 1971 number: 1487
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001487
1. PLACE OF DEATH County of Kings If in City or Town Berwick
If death occured in a hospital or institution W.K.M. Hospital
3. PRINT NAME OF DECEASED Margeson, Ernest W.
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE South Berwick, N.S
9. DATE OF BIRTH 11 17, 1879
10. AGE in Years91 Months2 Days9 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Ethel
16. NAME of Father Lemuel Margeson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth Williams
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Howard E. Margeson
address Berwick
Relationship to deceased Son
21. Place of burial Berwick (Cemetery)
Date of burial January 30, 1971
22. Undertaker H.C. Lindsay Funeral Homes, Berwick
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 27, 1971
CAUSE OF DEATH
(a) Acute lymphocytic leukemia
(b)
(c)
other Ca of Prostate
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493565
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