Male Death Registration: Year: 1971 number: 2296
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002296
1. PLACE OF DEATH County of Kings If in City or Town Wolfville
If death occured in a hospital or institution Wolfville Nursing Home
3. PRINT NAME OF DECEASED Moore, Charles Hubert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE Kentville
9. DATE OF BIRTH 9 24, 1878
10. AGE in Years92 Months5 Days1 | 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 Lulu
16. NAME of Father Thomas Moore
17. BIRTHPLACE Ireland
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs. Everett Moore
address McKittrick Road, Kentville
Relationship to deceased Daughter-in-law
21. Place of burial Elm Grove Cemetery. Kentville, NS Kentville
Date of burial March 1, 1971
22. Undertaker H.C. Lindsay Funeral Homes, Kentville Kentville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 25, 1971
CAUSE OF DEATH
(a) Anemia
(b) metastatic carcinoma of prostate
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494373
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