Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Frederick Antle death at Halifax, Halifax County on May 4, 1971
Male Death Registration: Year: 1971 number: 3136
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003136
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Civic Hospital
3. PRINT NAME OF DECEASED Antle, Frederick
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 17, 1912
10. AGE in Years59 Months1 Days17 | hrs or mins
11. Trade or profession
12. Kind of industry Truck Driver
13. Date last worked 1969 14. Total years 30
15. If married name of spouse Sadie Antle
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs. Sadie Antle
address 2446 Gottingen St, Hfx, NS
Relationship to deceased Wife
21. Place of burial Mt. Olivet, Hfx, NS
Date of burial May 6/ 71
22. Undertaker Snow & Co. Ltd, Halifax, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 4, 1971
CAUSE OF DEATH
(a) Carcinoma Penis
(b) Diabetes Mellitus
(c) Comma
other Diseased kidney
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