Male Death Registration: Year: 1971 number: 2544
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002544
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Amherst Hospital, Highland View
3. PRINT NAME OF DECEASED Allen, William Ray
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Halls Harbour
9. DATE OF BIRTH 3 20, 1895
10. AGE in Years76 Months Days1 | hrs or mins
11. Trade or profession Fisherman & Beacon Operator
12. Kind of industry Fishing & Tending Light
13. Date last worked 1951 14. Total years 46
15. If married name of spouse Amy Allen (deceased)
16. NAME of Father William Allen
17. BIRTHPLACE New Brunswick
18. NAME of Mother Frances Sharpe
19. BIRTHPLACE New Brunswick
20. Signature of Informant Marguerite ALlen
address 7 Copper Ave, Sackville, New Brunswick
Relationship to deceased Daughter
21. Place of burial Sackville Cemetery, Bayfield, West. Co. N.B.
Date of burial 25 March 1971
22. Undertaker Jones Funeral Homes, Port Elgin, N.B.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 21, 1971
CAUSE OF DEATH
(a) Acute Coronary Insufficiency
(b) Severe arteriosclerosis
(c) arteriosclerosis cardiovascular disease (extreme)
other Emphysema, old fibrocaseous disease
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Note: surgery 15 March 1971 - removal obstructed abscess of carcinoma of kidney and bladder. Lived in Amhurst, Cumberland, Nova Scotia for 5 months
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494621
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