Male Death Registration: Year: 1971 number: 1962
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001962
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Martin, Everett
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Terrence Bay
9. DATE OF BIRTH 8 11, 1911
10. AGE in Years59 Months6 Days14 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Mrs. Tillie Martin
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs. Tillie Martin
address Terence Bay
Relationship to deceased Wife
21. Place of burial Terrance Bay, Star of the Sea
Date of burial February 27, 1971
22. Undertaker J. Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 25, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Carcinomatosis
(c) Malignant gland in neck
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494040
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