Male Death Registration: Year: 1971 number: 1853
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001853
1. PLACE OF DEATH County of Annapolis If in City or Town Annapolis Royal
If death occured in a hospital or institution Annapolis General Hospital, Annapolis Royal, NS
3. PRINT NAME OF DECEASED Cummings, Russell Smith
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Annapolis Royal
9. DATE OF BIRTH 11 7, 1910
10. AGE in Years60 Months3 Days16 | hrs or mins
11. Trade or profession disabled
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Joseph Cummings
17. BIRTHPLACE Annapolis Royal
18. NAME of Mother Emily Mitchell
19. BIRTHPLACE England UK
20. Signature of Informant Margaret Thelma [Low/Law?]
address 6224 Allen St, Halifax, NS
Relationship to deceased sister
21. Place of burial Woodlawn Cemetery, Annapolis Royal, NS
Date of burial Feb 24, 1971
22. Undertaker Chas Dargie & Sons Ltd, Annapolis Royal, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 23, 1971
CAUSE OF DEATH
(a) Azotemia x 2 mos
(b) Chronic renal Failure x 3 yrs
(c)
other Paraplegia - polio x 40 yrs
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493931
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