Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Keith Charles Grace death at Bridgewater, Lunenburg County on January 31, 1971
Male Death Registration: Year: 1971 number: 1493
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001493
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution 161 Victoria Road
3. PRINT NAME OF DECEASED Grace, Keith Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 8, 1901
10. AGE in Years69 Months10 Days23 | 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 Jennie Grace
16. NAME of Father Thomas Grace
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Forence Renny
19. BIRTHPLACE Nova Scotia
20. Signature of Informant ?DC Grace
address Bridgewater
Relationship to deceased Son
21. Place of burial Bridgewater
Date of burial February 3, 1971
22. Undertaker Charles Sweeny, B'water
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 31, 1971
CAUSE OF DEATH
(a) cerebral thrombosis
(b) arteriosclerosis
(c)
other
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