Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Samuel Vincent Creelman death at Windsor, Hants County on February 15, 1971
Male Death Registration: Year: 1971 number: 1908
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001908
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital
3. PRINT NAME OF DECEASED Creelman, Samuel Vincent
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 5, 1889
10. AGE in Years81 Months8 Days10 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Mabel (MacCullock) Creelman
16. NAME of Father Woodbury Creelman
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Caroline Archibald
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Ronald Lane
address Waverly, Nova Scotia
Relationship to deceased Daughter
21. Place of burial Windsor, Nova Scotia
Date of burial February 17, 1971
22. Undertaker Lohnes Funeral Service Limited, Windsor, Nova Scotia
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 15, 1971
CAUSE OF DEATH
(a) Cerebral Sclerosis
(b) Arteriosclerosis
(c)
other Appendicitis
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