Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Arthur Graham Pentz death at Liverpool, Queens County on February 26, 1971

Male Death Registration: Year: 1971 number: 2062

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 002062

1. PLACE OF DEATH   County of Queens If in City or Town Liverpool
If death occured in a hospital or institution Queens General Hospital

3. PRINT NAME OF DECEASED Pentz, Arthur Graham

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

widowed

8. BIRTHPLACE Beach Meadows

9. DATE OF BIRTH 4  14, 1881

10. AGE in  Years89  Months10  Days12 | hrs or mins

11. Trade or profession Retired

12. Kind of industry Fisherman

13. Date last worked 1951       14. Total years

15. If married name of spouse Kate Pentz (Dec'd)

16. NAME of Father Joseph Parker  Pentz

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Amanda Mouzar

19. BIRTHPLACE Nova Scotia

20. Signature of Informant A Graham Pentz

      address Box 142 Shelburne, NS

      Relationship to deceased Son

21. Place of burial Beach Meadows, NS

      Date of burial March 2, 1971

22. Undertaker Chandlers Funeral Service Ltd, Liverpool, NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH February 26, 1971

CAUSE OF DEATH

(a) Bronchopneumonia

(b) ASHD

(c) Cerebral Arteriosclerosis

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494139

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