Male Death Registration: Year: 1971 number: 2265
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002265
1. PLACE OF DEATH County of Cumberland If in City or Town Pugwash
If death occured in a hospital or institution North Cumb. Memorial Hospital
3. PRINT NAME OF DECEASED Allen, Cyrus
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Port Elgin, New Brunswick
9. DATE OF BIRTH 3 29, 1894
10. AGE in Years76 Months11 Days10 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked 1962 14. Total years 51
15. If married name of spouse Mrs. Jennie Allen
16. NAME of Father Clifford Allen
17. BIRTHPLACE New Brunswick
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs. Jennie Allen
address Pugwash, Nova Scotia
Relationship to deceased Wife
21. Place of burial Pugwash
Date of burial March 11, 1971
22. Undertaker W.L. Mundle, Pugwash
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 9, 1971
CAUSE OF DEATH
(a) Arteriosclerotic heart disease
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494342
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