Male Death Registration: Year: 1971 number: 2229
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002229
1. PLACE OF DEATH County of Annapolis If in City or Town Falkland Ridge
If death occured in a hospital or institution Falkland Ridge, Annapolis Co. (at home)
3. PRINT NAME OF DECEASED Wagner, Dennis Freeman
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Anglo-Saxon
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 27, 1881
10. AGE in Years89 Months9 Days19 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked 1956 14. Total years 50
15. If married name of spouse
16. NAME of Father Jacob Wagner
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Sophia Dorey
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Gerald Wagner
address Falkland Ridge
Relationship to deceased son
21. Place of burial Falkland Ridge
Date of burial March 20, 1971
22. Undertaker Langille's Funeral Home, Barss Corner
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 18, 1971
CAUSE OF DEATH
(a) Cardio Vascular accident
(b) Arteriosclerosis
(c)
other Vascular insufficiency legs
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494306
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