Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Roman Boehner death at Martins River, Lunenburg County on April 20, 1971
Male Death Registration: Year: 1971 number: 3072
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003072
1. PLACE OF DEATH County of Lunenburg If in City or Town Martins River
3. PRINT NAME OF DECEASED Boehner, Charles Roman
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Martin's River, Lunenburg Co
9. DATE OF BIRTH 12 8, 1900
10. AGE in Years69 Months4 Days12 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Pearl Hiltz/ Boehner
16. NAME of Father Nathan Boehner
17. BIRTHPLACE Lunenburg Co, NS
18. NAME of Mother Gertrude Hiltz
19. BIRTHPLACE Lunenburg Co, NS
20. Signature of Informant Paulette Slauenwhite
address Mahone Bay RR#2
Relationship to deceased Daughter
21. Place of burial Martin's River
Date of burial April 23/ 71
22. Undertaker Mahone Funeral Service and Ambulance, Mahone Bay, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 20, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b) Severe coronary arteriosclerosis
(c)
other Peripheral vascular disease
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