Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Seymour Russell Fraser death at Salmon River, Colchester County on May 3, 1971
Male Death Registration: Year: 1971 number: 3671
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003671
1. PLACE OF DEATH County of Colchester If in City or Town Salmon River
If death occured in a hospital or institution Weir Nursing Home
3. PRINT NAME OF DECEASED Fraser, Seymour Russell
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Mount Thom
9. DATE OF BIRTH 6 22, 1893
10. AGE in Years77 Months11 Days1 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father James Fraser
17. BIRTHPLACE NS
18. NAME of Mother Mary MacPhail
19. BIRTHPLACE NS
20. Signature of Informant Donald Fraser
address 42 Archibald St. Truro, NS
Relationship to deceased Nephew
21. Place of burial Valley, Col. Co. NS
Date of burial May 7, 1971
22. Undertaker P.B. Kennedy, Truro, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 3, 1971
CAUSE OF DEATH
(a) Carcinoma of Colon
(b)
(c)
other
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