Male Death Registration: Year: 1971 number: 2158
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002158
1. PLACE OF DEATH County of Halifax If in City or Town Shad Bay
3. PRINT NAME OF DECEASED Collier, John Harold
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 2 18, 1918
10. AGE in Years53 Months Days17 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 1956 14. Total years
15. If married name of spouse Charlotte Northcott
16. NAME of Father James Collier
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Emma Yeadon
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. John Collier
address Shad Bay
Relationship to deceased Wife
21. Place of burial R.C. Cemetery, Shad Bay
Date of burial March 10, 1971
22. Undertaker J. Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 7, 1971
CAUSE OF DEATH
(a) Coronary occlusion
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494235
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