Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Thomas Eugene Myra death at Gold Rive, Lunenburg County on May 10, 1971
Male Death Registration: Year: 1971 number: 3616
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003616
1. PLACE OF DEATH County of Lunenburg If in City or Town Gold Rive
3. PRINT NAME OF DECEASED Myra, Thomas Eugene
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Gold River
9. DATE OF BIRTH 8 22, 1887
10. AGE in Years83 Months8 Days18 | hrs or mins
11. Trade or profession retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse deceased
16. NAME of Father John Myra
17. BIRTHPLACE Gold River
18. NAME of Mother Adelia Eisnor
19. BIRTHPLACE Lunenburg Co., NS
20. Signature of Informant Victor Schnare
address Chester, NS
Relationship to deceased Son in Law
21. Place of burial Western Shore
Date of burial May 13, 1971
22. Undertaker Mahone Funeral Home, Mahone Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 10, 1971
CAUSE OF DEATH
(a) Cardiac Arrest
(b) Coronary Thrombosis
(c)
other Asthma
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