Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Archibald Munroe Larsen death at Sydney, Cape Breton County on March 18, 1971
Male Death Registration: Year: 1971 number: 2384
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002384
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital
3. PRINT NAME OF DECEASED Larsen, Archibald Munroe
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE New Waterford, CB
9. DATE OF BIRTH 3 9, 1909
10. AGE in Years62 Months Days9 | hrs or mins
11. Trade or profession Salesman
12. Kind of industry Dunbar & Co
13. Date last worked 3 weeks 14. Total years
15. If married name of spouse Hazel Harrison
16. NAME of Father Melvin Larsen
17. BIRTHPLACE New Waterford, CB, NS
18. NAME of Mother Mary MacDonald
19. BIRTHPLACE New Waterford, CB, NS
20. Signature of Informant Melvin Larsen
address 6459 Edinburgh St, Halifax, NS
Relationship to deceased son
21. Place of burial Forest Haven Memorial Gardens, Sydney, NS
Date of burial March 21, 1971
22. Undertaker RH Fillmore Funeral Home Ltd, Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 18, 1971
CAUSE OF DEATH
(a) Cardio Thrombosis
(b) Arteriosclerosis
(c)
other
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