Male Death Registration: Year: 1971 number: 2604
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002604
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Slaunwhite, Samuel Solomon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Terence Bay
9. DATE OF BIRTH 11 18, 1902
10. AGE in Years68 Months4 Days18 | hrs or mins
11. Trade or profession Fish Cutter
12. Kind of industry Narional Sea Products
13. Date last worked Feb 1971 14. Total years 45
15. If married name of spouse Ellen Slaunwhite
16. NAME of Father Samuel Slaunwhite
17. BIRTHPLACE Terence Bay
18. NAME of Mother Florence Jollimore
19. BIRTHPLACE NS
20. Signature of Informant Harvey Slaunwhite
address 21 Mt. Pleasant Ave, Dartmouth
Relationship to deceased Son
21. Place of burial Terence Bay, NS
Date of burial April 7, 1971
22. Undertaker Cruickshank's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 5, 1971
CAUSE OF DEATH
(a) Carcinoma of Lung
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494681
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