Male Death Registration: Year: 1971 number: 1860
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001860
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution 30 Webster St, Sydney, NS
3. PRINT NAME OF DECEASED Ford, George
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Negro
7. Single, Married
single
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 7 27, 1919
10. AGE in Years51 Months6 Days1 | hrs or mins
11. Trade or profession Dominion Steel
12. Kind of industry
13. Date last worked Jan 28/71 14. Total years
15. If married name of spouse
16. NAME of Father Fitzgerald Ford
17. BIRTHPLACE Barbados
18. NAME of Mother Claudine Knights
19. BIRTHPLACE Barbados
20. Signature of Informant Clarence Ford
address 202 Aldercrest Rd, Toronto, Ontario
Relationship to deceased Brother
21. Place of burial Hardwood Hill Cemetery, Sydney, NS
Date of burial January 30, 1971
22. Undertaker RH FillmoreFuneral Home Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 29, 1971
CAUSE OF DEATH
(a) Acute Alcoholism x several days
(b) Multiple [hematoma?]
(c) [liver?]
other Congenital Hydrocephalis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493938
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