Male Death Registration: Year: 1971 number: 3604
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003604
1. PLACE OF DEATH County of Kings If in City or Town Kentville
If death occured in a hospital or institution B.F.M. Hospital
3. PRINT NAME OF DECEASED Irving, Charles Norman
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Glenmont
9. DATE OF BIRTH 8 8, 1901
10. AGE in Years69 Months9 Days1 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 1970 14. Total years
15. If married name of spouse Rita Mary Rockwell
16. NAME of Father Alexis Irving
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mina Lockhart
19. BIRTHPLACE Nova Scotia
20. Signature of Informant MRs. Charles Irving
address Sheffield Mills, Kings Co., NS
Relationship to deceased Wife
21. Place of burial Canard, Kings Co., NS
Date of burial May 11, 1971
22. Undertaker H. C. Lindsay Funeral Homes Ltd, Kentville, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 9, 1971
CAUSE OF DEATH
(a) Pulmonary Emphysema
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495680
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