Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Carl Eric Haase death at Nictaux West, Annapolis County on May 31, 1971
Male Death Registration: Year: 1971 number: 3757
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003757
1. PLACE OF DEATH County of Annapolis If in City or Town Nictaux West
3. PRINT NAME OF DECEASED Haase, Carl Eric
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 16, 1916
10. AGE in Years55 Months1 Days15 | hrs or mins
11. Trade or profession Pricing Clerk
12. Kind of industry Wholesale Grocery
13. Date last worked Jan 25/71 14. Total years 20
15. If married name of spouse Joan Foster
16. NAME of Father Carl John Haase
17. BIRTHPLACE Austria
18. NAME of Mother Marie Plaha
19. BIRTHPLACE Austria
20. Signature of Informant Joan Haase
address Nictaux West, Anna. Co. NS
Relationship to deceased Wife
21. Place of burial Nictaux, Anna. Co. NS
Date of burial June 2, 1971
22. Undertaker Warren T. Roop Limited, Middleton, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 31, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b) Arteriosclerotic Heart Disease
(c)
other Diabetes Mellitus Chronic Anemia
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