Male Death Registration: Year: 1971 number: 1504
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001504
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
3. PRINT NAME OF DECEASED Shephard, David Agustus
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Prince Edward Island
9. DATE OF BIRTH 9 12, 1913
10. AGE in Years57 Months4 Days1 | hrs or mins
11. Trade or profession Labourer (Retired)
12. Kind of industry
13. Date last worked 1968 14. Total years
15. If married name of spouse
16. NAME of Father John Shepherd
17. BIRTHPLACE Prince Edward Island
18. NAME of Mother Emily Whitty
19. BIRTHPLACE Prince Edward Island
20. Signature of Informant Harold Snyder
address Tracadie
Relationship to deceased Brother-in-law
21. Place of burial St. John's Holy Cross, New Glasgow
Date of burial January 16, 1971
22. Undertaker Angus, New Glasgow
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 13, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493582
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