Male Death Registration: Year: 1971 number: 1650
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001650
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution Dawson Memorial Hospital
3. PRINT NAME OF DECEASED Corkum, Philip
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE New Cumberland, Lunenburg County
9. DATE OF BIRTH 5 12, 1889
10. AGE in Years81 Months8 Days26 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry Farming
13. Date last worked 1969 14. Total years
15. If married name of spouse Mrs. Lena (Corkum) Corkum
16. NAME of Father Reuben Corkum
17. BIRTHPLACE New Cumberland, Lunenburg Co.
18. NAME of Mother Mary Meisner
19. BIRTHPLACE Lake Centre, Lunenburg Co.
20. Signature of Informant Mrs. Philip Corkum
address RR1 Pleasantville, Lunenburg Co.
Relationship to deceased Wife
21. Place of burial New Cumberland, Lunenburg Co.
Date of burial Feb. 10, 1971
22. Undertaker Stan N. Wamback, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 7, 1971
CAUSE OF DEATH
(a) Myocardial infarction
(b) Chronic congestive heart failure
(c)
other Arteriosclerosis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493728
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