Male Death Registration: Year: 1971 number: 3417
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003417
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Brownell, Percy Johnson
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Northport
9. DATE OF BIRTH 5 27, 1893
10. AGE in Years77 Months11 Days10 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked 12 years ago 14. Total years life
15. If married name of spouse Verda P. Brownell
16. NAME of Father Luther M. Brownell
17. BIRTHPLACE Cumb. Co.
18. NAME of Mother Hattie M. Oulton
19. BIRTHPLACE Cumb. Co.
20. Signature of Informant Mrs. Verda Brownell
address RR#1 Northport
Relationship to deceased wife
21. Place of burial Lornville
Date of burial May 9, 1971
22. Undertaker Furlong's Funeral Home Ltd, Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 7, 1971
CAUSE OF DEATH
(a) chronic glomerular nephritis with Uraemia
(b) Severe anaemia
(c) Arteriosclerosis
other Complete heart block
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495493
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