Male Death Registration: Year: 1971 number: 1922
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001922
1. PLACE OF DEATH County of Lunenburg If in City or Town West Northfield
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Bruhm, William Robert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 12 16, 1890
10. AGE in Years80 Months2 Days4 | hrs or mins
11. Trade or profession Farming
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Deceased
16. NAME of Father William Bruhm
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Isabell Kelly
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. David Bruhm
address West Northfield
Relationship to deceased Son
21. Place of burial West Northfield
Date of burial February 22, 1971
22. Undertaker Charles Sweeney, B'water
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 20, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Congestive heart disease
(c) Peripheral Circulatory disease
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494000
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