Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Joseph William Samson death at Halifax, Halifax County on April 25, 1971
Male Death Registration: Year: 1971 number: 2987
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002987
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 Samson, Joseph William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE L'Ardoise, CB
9. DATE OF BIRTH 9 15, 1896
10. AGE in Years74 Months7 Days10 | hrs or mins
11. Trade or profession Superintendent
12. Kind of industry Catholic Cemetery Commission
13. Date last worked April 24/71 14. Total years 50 yrs
15. If married name of spouse Katherine George
16. NAME of Father Henry Samson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother not available not available
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Joseph R. Samson
address Box 13 RR#3 Lower Sackville, NS
Relationship to deceased Son
21. Place of burial Mount Olivet Cemetery, Hfx
Date of burial April 27, 1971
22. Undertaker Halifax Funeral Home Limited, Halifax, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 25, 1971
CAUSE OF DEATH
(a) Carcinoma of prostate
(b)
(c)
other
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