Male Death Registration: Year: 1971 number: 3440
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003440
1. PLACE OF DEATH County of Kings If in City or Town Wolfville
If death occured in a hospital or institution Eastern Kings Memorial
3. PRINT NAME OF DECEASED Harris, Judson David
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Port Williams, Kings County
9. DATE OF BIRTH 9 24, 1890
10. AGE in Years80 Months7 Days12 | hrs or mins
11. Trade or profession Merchant
12. Kind of industry Grocery Store
13. Date last worked 20 years ago 14. Total years
15. If married name of spouse Clare Burgess
16. NAME of Father Rupert E. Harris
17. BIRTHPLACE Port Williams, Kings Co., NS
18. NAME of Mother Nancy Bill
19. BIRTHPLACE Billtown, Kings Co., NS
20. Signature of Informant Mrs. Clare Harris
address Victoria Avenue, Wolfville, Kings Co., NS
Relationship to deceased Wife
21. Place of burial Willowbank, Wolfville, Kings Co., NS
Date of burial 8 May 1971
22. Undertaker H. C. Lindsay Funeral Homes Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 6, 1971
CAUSE OF DEATH
(a) Acute Pulmonary Edema
(b) Chronic Congestive Heart Failure
(c) Coronary Artery disease
other Diabetes Mellitus
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495516
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