Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Thomas Edward Nickerson death at Sandy Point, Shelburne County on May 31, 1971
Male Death Registration: Year: 1971 number: 3715
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003715
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital
3. PRINT NAME OF DECEASED Nickerson, Thomas Edward
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 2 10, 1894
10. AGE in Years77 Months3 Days21 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked 1945 14. Total years 30 yrs
15. If married name of spouse
16. NAME of Father Sylvanis Nickerson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Christina Lyle
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Elizabeth Jenkins
address 7 Cumberland St, Yarmouth, NS
Relationship to deceased Sister
21. Place of burial West Baccaro, NS
Date of burial June 2nd 1971
22. Undertaker Kenney Funeral Service, Barrington, Shelburne Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 31, 1971
CAUSE OF DEATH
(a) Pneumonia
(b) Iron Deficiency - Anaemic
(c)
other
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