Male Death Registration: Year: 1971 number: 3758
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003758
1. PLACE OF DEATH County of Annapolis If in City or Town Middleton
If death occured in a hospital or institution Soldiers Memorial Hospital
3. PRINT NAME OF DECEASED Baker, Percy DeVere
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 11, 1883
10. AGE in Years87 Months7 Days20 | hrs or mins
11. Trade or profession Street Conductor
12. Kind of industry Railway
13. Date last worked 1951 14. Total years Life
15. If married name of spouse Kathleen Keynon
16. NAME of Father Charles Baker
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Amelia Stronach
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Cameron Spurr
address Melvern Square, Anna. Co. NS
Relationship to deceased Niece
21. Place of burial Melvern Square, Anna. Co. NS
Date of burial June 2, 1971
22. Undertaker Warren T. Roop Ltd, Middleton, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 31, 1971
CAUSE OF DEATH
(a) Pneumonitis
(b) Arteriosclerotic Disease
(c) Chronic Pyelonephritis
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495834
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