Male Death Registration: Year: 1971 number: 2235
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002235
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital, Antigonish
3. PRINT NAME OF DECEASED Fraser, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Beauley, Ant. County
9. DATE OF BIRTH 3 19, 1887
10. AGE in Years83 Months11 Days14 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Farming
13. Date last worked 1955 14. Total years
15. If married name of spouse Margaret Carroll
16. NAME of Father William Fraser
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annie MacGillivray
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Jane Fraser
address Antigonish
Relationship to deceased daughter
21. Place of burial St. Andrews R.C. Cemetery, St Andrew's, NS
Date of burial March 8, 1971
22. Undertaker Curry Bros. Funeral Directors Ltd., Antigonish
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 5, 1971
CAUSE OF DEATH
(a) myocardial failure
(b) fibrillation (atrial)
(c) degenerative cardio-vascular disease
other carcinomatosis of the lungs, suspected CA stomach
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494312
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