Male Death Registration: Year: 1971 number: 2423
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002423
1. PLACE OF DEATH County of Halifax If in City or Town Middle Musquodoboit
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Dickie, Everett
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 26, 1883
10. AGE in Years87 Months5 Days20 | hrs or mins
11. Trade or profession retired
12. Kind of industry farming
13. Date last worked 1959 14. Total years life
15. If married name of spouse Alma Higgins (deceased)
16. NAME of Father Samuel Dickie
17. BIRTHPLACE N S
18. NAME of Mother Jane Fraser
19. BIRTHPLACE N S
20. Signature of Informant Lester Dickie
address Middle Musquodoboit, NS
Relationship to deceased son
21. Place of burial Higginsville, NS
Date of burial 19 Mar-71
22. Undertaker Ettinger Funeral Service Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 17, 1971
CAUSE OF DEATH
(a) Pneumonia
(b) Chronic Brain Syndrome
(c)
other Congestive Heart failure, Arteriosclerosis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494500
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