Male Death Registration: Year: 1971 number: 2506
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002506
1. PLACE OF DEATH County of Annapolis If in City or Town Clementsport
3. PRINT NAME OF DECEASED Balcomb, Owen Morse
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English +Irish
7. Single, Married
married
8. BIRTHPLACE Cementsport Anna County Nova Scotia
9. DATE OF BIRTH 6 19, 1888
10. AGE in Years82 Months9 Days8 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry Construction Worker
13. Date last worked 1960 14. Total years 50
15. If married name of spouse Mrs Elda Balcomb
16. NAME of Father Israel Balcomb
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Lavinia Morse
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Elda Balcomb
address Clementsport Annapolis County N S
Relationship to deceased Wife
21. Place of burial Old St. Edwards Cemetery Cementsport NS
Date of burial March 30, 1971
22. Undertaker Chas Dargie + Sons Annapolis Royal N.S.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 27, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Arterioscorsis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494583
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