Male Death Registration: Year: 1971 number: 2200
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002200
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Johnson, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 19, 1897
10. AGE in Years73 Months8 Days17 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Betty Johnson
16. NAME of Father George Johnson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ida Wilcox
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Betty Johnson
address 5134 Bishop St., Halifax
Relationship to deceased Wife
21. Place of burial Fairview Cemetery, Halifax, NS
Date of burial March 11, 1971
22. Undertaker J. Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 8, 1971
CAUSE OF DEATH
(a) Myocarditis with failure
(b)
(c) arteriosclerosis
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494277
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