Male Death Registration: Year: 1971 number: 3099
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003099
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional Hospital
3. PRINT NAME OF DECEASED Nickerson, Hilton Edward
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 4, 1894
10. AGE in Years76 Months7 Days18 | hrs or mins
11. Trade or profession Mink Rancher
12. Kind of industry
13. Date last worked 1961 14. Total years 25 yrs
15. If married name of spouse
16. NAME of Father Augustus Nickerson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Florence Duncan
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Jack Nickerson
address Clark's Harbour, Shel. Co. NS
Relationship to deceased Son
21. Place of burial Lower Clark's Harbour, NS
Date of burial April 25, 1971
22. Undertaker Kenney Funeral Service, Barrington, Shel. Co. NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 22, 1971
CAUSE OF DEATH
(a) Cerebrovascular accident
(b) Hypertension
(c)
other Bronchitis Emphysema
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495175
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