Male Death Registration: Year: 1971 number: 3137
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003137
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Kelly, Arthur Reginald
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Ketch Harbour
9. DATE OF BIRTH 8 16, 1912
10. AGE in Years58 Months8 Days18 | hrs or mins
11. Trade or profession Watchman on Waterfront
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Dorothy Power
16. NAME of Father Charles Kelly
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Ronald Kelly
address 74 Crestfield Drive, Uplands Park, Bedford
Relationship to deceased Son
21. Place of burial Gate of Heaven Cemetery, Lr Sackville, NS
Date of burial May 7, 1971
22. Undertaker R.D. Lindsay Funeral Home Ltd, Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 4, 1971
CAUSE OF DEATH
(a) Cardiogenic Shock
(b) Rheumatic Heart Disease
(c) Congestive Heart Failure
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495213
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