Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Irwin Charles Fralick death at Port Dufferin, Halifax County on April 3, 1971
Male Death Registration: Year: 1971 number: 2638
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002638
1. PLACE OF DEATH County of Halifax If in City or Town Port Dufferin
If death occured in a hospital or institution Port Dufferin, Halifax Co.
3. PRINT NAME OF DECEASED Fralick, Irwin Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
widowed
8. BIRTHPLACE Hacketts Cove
9. DATE OF BIRTH 6 5, 1889
10. AGE in Years81 Months9 Days29 | hrs or mins
11. Trade or profession Cook
12. Kind of industry
13. Date last worked Retired 14. Total years
15. If married name of spouse
16. NAME of Father Charles Fralick
17. BIRTHPLACE Hacketts Cove
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Edward Fralick
address Port Dufferin
Relationship to deceased son
21. Place of burial Port Dufferin
Date of burial 6 Apr 1971
22. Undertaker Veinotte & Sons Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 3, 1971
CAUSE OF DEATH
(a) cessation of heart
(b) coronary artery insufficiency
(c) cardiac arythmia
other Cor pulmonale
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