Male Death Registration: Year: 1971 number: 2653
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002653
1. PLACE OF DEATH County of Kings If in City or Town Kentville
If death occured in a hospital or institution Country Home Nursing Home, Kentville
3. PRINT NAME OF DECEASED King, Paul Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Rockdale, Richmond County
9. DATE OF BIRTH 2 16, 1968
10. AGE in Years3 Months1 Days23 | hrs or mins
11. Trade or profession child
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Walter King
17. BIRTHPLACE Point Tupper
18. NAME of Mother Florence Sampson
19. BIRTHPLACE Halifax
20. Signature of Informant Robert C. Sampson
address Rockdale
Relationship to deceased Grandfather
21. Place of burial L'Ardoise R.C. Cemetery
Date of burial April 11, 1971
22. Undertaker Alex A. Morrison
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 8, 1971
CAUSE OF DEATH
(a) Acute Upper Resperatory Infection
(b) Cerebral Palsy
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494730
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