Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Heman Spurgeon Nichols death at Yarmouth, Yarmouth County on May 10, 1971
Male Death Registration: Year: 1971 number: 3627
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003627
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional Hospital
3. PRINT NAME OF DECEASED Nichols, Heman Spurgeon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE New Tusket, Digby County
9. DATE OF BIRTH 6 15, 1884
10. AGE in Years86 Months10 Days25 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Fisherman
13. Date last worked 1960 14. Total years
15. If married name of spouse Jessie Brooks
16. NAME of Father Peter Nicholson
17. BIRTHPLACE NS
18. NAME of Mother Augusta Prime
19. BIRTHPLACE NS
20. Signature of Informant Mrs. Theresa Nickerson
address Freeport, NS
Relationship to deceased Daughter
21. Place of burial Freeport, NS
Date of burial May 13, 1971
22. Undertaker Jaynes Funeral Home Ltd., Digby, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 10, 1971
CAUSE OF DEATH
(a) Carcinoma of Cardea Stomach
(b)
(c)
other leak at the esophageal varices
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