Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
George Master Keizer death at Kentville, Kings County on March 6, 1971
Male Death Registration: Year: 1971 number: 2301
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002301
1. PLACE OF DEATH County of Kings If in City or Town Kentville
If death occured in a hospital or institution N.S. Sanatorium, Kentville
3. PRINT NAME OF DECEASED Keizer, George Master
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 28, 1918
10. AGE in Years52 Months10 Days8 | hrs or mins
11. Trade or profession Cook
12. Kind of industry DND Greenwood
13. Date last worked Oct. 1969 14. Total years 17 yrs
15. If married name of spouse Genieva Keizer
16. NAME of Father Amos Keizer (dec)
17. BIRTHPLACE N.S. (foster father)
18. NAME of Mother Emma Lightfoot
19. BIRTHPLACE Nova Scotia
20. Signature of Informant N.S. Sanitorium records
address
Relationship to deceased
21. Place of burial Kingston
Date of burial March 8, 1971
22. Undertaker Frederick G. Roop Funeral Service, Middleton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 6, 1971
CAUSE OF DEATH
(a) Chronic obstructive lung disease
(b) Bronchial asthma
(c)
other
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