Male Death Registration: Year: 1971 number: 3170
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003170
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution Colchester Hospital
3. PRINT NAME OF DECEASED Brown, Fred Herbert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 1, 1887
10. AGE in Years83 Months11 Days24 | hrs or mins
11. Trade or profession
12. Kind of industry retired farmer
13. Date last worked 19 years 14. Total years lifetime
15. If married name of spouse Mrs. Fred Brown
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs. Larson Langille
address East Wentworth
Relationship to deceased no relation
21. Place of burial East Wentworth Cemetery
Date of burial April 27, 1971
22. Undertaker Harry R. Bonnyman, Tatamagouche
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 25, 1971
CAUSE OF DEATH
(a) septic shock
(b) urinary tract infection
(c)
other aggravated by fractured hip and immobility and surgery Accident: fell on kitchen floor
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495246
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