Male Death Registration: Year: 1971 number: 2144
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002144
1. PLACE OF DEATH County of Colchester If in City or Town Tatamagouche
If death occured in a hospital or institution Lillian Fraser Memorial Hospital
3. PRINT NAME OF DECEASED Harris, Robert William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 25, 1886
10. AGE in Years84 Months4 Days12 | hrs or mins
11. Trade or profession
12. Kind of industry Retired Forman
13. Date last worked 1960 14. Total years Lifetime
15. If married name of spouse
16. NAME of Father Issac Harris
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Emeline MacCallum
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Harry Tucker
address Tatamagouche, RR#4
Relationship to deceased no relation
21. Place of burial MacNutts Cemetery, Tatamagouche Mt.
Date of burial March 12, 1971
22. Undertaker Harry R. Bonnyman, Tatamagouche
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 9, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494221
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