Male Death Registration: Year: 1971 number: 3621
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003621
1. PLACE OF DEATH County of Queens If in City or Town Liverpool
If death occured in a hospital or institution Queens General Hospital
3. PRINT NAME OF DECEASED Carver, John Seldon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Whiteburn, Queens County
9. DATE OF BIRTH 5 22, 1883
10. AGE in Years87 Months11 Days29 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Farmer
13. Date last worked 1950 14. Total years
15. If married name of spouse Annie G. Carver (deceased)
16. NAME of Father Ruben Carver
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annie Seldon
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Jean Seldon
address Caledonia, NS
Relationship to deceased Daughter
21. Place of burial West Caledonia, Queens Co, NS
Date of burial May 24, 1971
22. Undertaker Chandler's Funeral Home, Liverpool, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 21, 1971
CAUSE OF DEATH
(a) Arteriosclerotic Heart Disease
(b) Congestive Heart Failure
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495697
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