Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Samuel Lewis Wood death at Halifax, Halifax County on April 18, 1971
Male Death Registration: Year: 1971 number: 2967
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002967
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 Wood, Samuel Lewis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Georgefield
9. DATE OF BIRTH 9 9, 1887
10. AGE in Years83 Months7 Days9 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 1961 14. Total years Life
15. If married name of spouse
16. NAME of Father George Wood
17. BIRTHPLACE NS
18. NAME of Mother Mabel Singer
19. BIRTHPLACE
20. Signature of Informant Mrs. Florence Turpel
address Shubenacadie
Relationship to deceased Wife Common Law
21. Place of burial Nine Mile River, NS
Date of burial 20 Apr'71
22. Undertaker Ettinger Funeral Service
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 18, 1971
CAUSE OF DEATH
(a) Hemorrhage
(b) Duodenal ulcer
(c)
other
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