Male Death Registration: Year: 1971 number: 2784
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002784
1. PLACE OF DEATH County of Hants If in City or Town Three Mile Plains
If death occured in a hospital or institution Passing through
3. PRINT NAME OF DECEASED Senior, Charles Eric
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Toronto
9. DATE OF BIRTH 2 4, 1933
10. AGE in Years38 Months1 Days22 | hrs or mins
11. Trade or profession Sales Rep
12. Kind of industry Kodac
13. Date last worked 14. Total years
15. If married name of spouse Mrs. Charles Senior
16. NAME of Father John Senior
17. BIRTHPLACE Ontario
18. NAME of Mother Matilda Crossland
19. BIRTHPLACE Ontario
20. Signature of Informant Mrs. Charles Senior
address Grendale Lane, Dartmouth, NS
Relationship to deceased Wife
21. Place of burial Toronto, Ontario
Date of burial March 27, 1971
22. Undertaker Lindsay, Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 26, 1971
CAUSE OF DEATH
(a)
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494861
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