Male Death Registration: Year: 1971 number: 3647
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003647
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Kelly, James Gerald
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 11 16, 1896
10. AGE in Years74 Months5 Days15 | hrs or mins
11. Trade or profession retired
12. Kind of industry foreman - City of Halifax
13. Date last worked 1960 14. Total years 20 yrs
15. If married name of spouse Anne Kelly
16. NAME of Father James Kelly
17. BIRTHPLACE Halifax
18. NAME of Mother Catherine Chambers
19. BIRTHPLACE Newfoundland
20. Signature of Informant Clifford Kelly
address 45 Norris St., North Cambridge, Mass., U.S.A.
Relationship to deceased Brother
21. Place of burial Mount Olivet, Halifax
Date of burial June 3, 1971
22. Undertaker Cruikshank Funeral Home Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 31, 1971
CAUSE OF DEATH
(a) Carcinoma left lung
(b)
(c)
other hemopericardium
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495723
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