Male Death Registration: Year: 1971 number: 2568
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002568
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution Walkers ? Rest Home
3. PRINT NAME OF DECEASED Harmon, Ernest E.
4. Sex
Male
5. Citizenship
American Canadian
6. Racial Origin
Anglo-Saxon
7. Single, Married
married
8. BIRTHPLACE Crousetown, Lun.County
9. DATE OF BIRTH 9 11, 1884
10. AGE in Years86 Months6 Days22 | hrs or mins
11. Trade or profession Engineer
12. Kind of industry Hospital Work
13. Date last worked 1949 14. Total years ?
15. If married name of spouse Mrs. Laura A. Harmon
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Laura A. Harmon
address Bridgewater
Relationship to deceased Wife
21. Place of burial Auburn, Mass., U.S.A.
Date of burial April 5, 1971
22. Undertaker Stan N. Wamback, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 2, 1971
CAUSE OF DEATH
(a) Pulmonary ?edema?
(b) Congestive heart failure
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494645
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