Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Theodore Charles Berman death at Halifax, Halifax County on March 2, 1971
Male Death Registration: Year: 1971 number: 1981
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001981
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution 5391 Rector, Halifax
3. PRINT NAME OF DECEASED Berman, Theodore Charles
4. Sex
Male
5. Citizenship
American
6. Racial Origin
Jewish
7. Single, Married
married
8. BIRTHPLACE Chicago, U.S.A.
9. DATE OF BIRTH 11 14, 1912
10. AGE in Years58 Months3 Days16 | hrs or mins
11. Trade or profession Retired
12. Kind of industry U.S. Airforce
13. Date last worked 1962 14. Total years 20
15. If married name of spouse Suzanne Berman
16. NAME of Father August Berman
17. BIRTHPLACE U.S.A.
18. NAME of Mother Anne N.Known
19. BIRTHPLACE U.S.A.
20. Signature of Informant (Mrs.) Evelyn Mombourquette
address 2393 Breen Avenue, Hfx.
Relationship to deceased Niece
21. Place of burial New York City, U.S.A.
Date of burial March 4, 1971
22. Undertaker Cruickshank Funeral Home Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 2, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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