Male Death Registration: Year: 1971 number: 2587
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002587
1. PLACE OF DEATH County of Halifax If in City or Town Three Fathom Harbour
If death occured in a hospital or institution 3 Fathom Harbour
3. PRINT NAME OF DECEASED Keizer, Murray Creighton
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 3, 1927
10. AGE in Years43 Months11 Days28 | hrs or mins
11. Trade or profession Machine Operator
12. Kind of industry Construction
13. Date last worked Jan 20/71 14. Total years 5
15. If married name of spouse Margaret Keizer
16. NAME of Father Herbert Keizer
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Minerva Logan
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Harvey Keizer
address 39 Johnstone Avenue, Dartmouth
Relationship to deceased Brother
21. Place of burial Porters Lake, Hfx Co. NS
Date of burial April 3, 1971
22. Undertaker Rowlings Funeral Service, Musquodoboit Harbour, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 23, 1971
CAUSE OF DEATH
(a) Drowning Accident
(b)
(c)
other Boating accident
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494664
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