Male Death Registration: Year: 1971 number: 2918
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002918
1. PLACE OF DEATH County of Kings If in City or Town Kentville
If death occured in a hospital or institution B F M Hospital
3. PRINT NAME OF DECEASED Pick, Malcolm
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Mi'kmaq
7. Single, Married
single
8. BIRTHPLACE Nyanza, Cape Breton
9. DATE OF BIRTH 8 25, 1958
10. AGE in Years12 Months7 Days4 | hrs or mins
11. Trade or profession Invalid
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Michael Pick
17. BIRTHPLACE NS
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Medical Records
address County Home Nursing Home, Kentville
Relationship to deceased
21. Place of burial Nyanza, NS
Date of burial April 2, 1971
22. Undertaker H C Lindsay Funeral Homes Ltd, Kentville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 29, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Cerebral Palsy
(c) Mental retardation
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494995
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