Male Death Registration: Year: 1971 number: 3421
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003421
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Reese, Cornell
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Welsh
7. Single, Married
divorced
8. BIRTHPLACE Londonderry
9. DATE OF BIRTH 10 1, 1901
10. AGE in Years69 Months7 Days10 | hrs or mins
11. Trade or profession Barber
12. Kind of industry
13. Date last worked 1 month ago 14. Total years Life
15. If married name of spouse
16. NAME of Father William Reese
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant W Reese
address 11203-132 Avenue, #10, Edmonton, Alta.
Relationship to deceased Son
21. Place of burial Amherst Cemetery Co. Amherst, NS
Date of burial May 14, 1971
22. Undertaker Furlong's Funeral Home Ltd., Amherst, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 11, 1971
CAUSE OF DEATH
(a) Shock
(b) Fall at home
(c) Accident: Slipped on mat
other Injured Septal Tissue of heart due to infarction
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495497
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