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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