Male Death Registration: Year: 1971 number: 3801
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003801
1. PLACE OF DEATH County of Kings If in City or Town Canaan
3. PRINT NAME OF DECEASED Collicutt, Murray Lloyd
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 20, 1921
10. AGE in Years49 Months11 Days12 | hrs or mins
11. Trade or profession bus driver
12. Kind of industry
13. Date last worked June 1/71 14. Total years
15. If married name of spouse Myrtle Collicutt
16. NAME of Father Aubrey Collicutt
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ida Armstrong
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Myrtle Collicutt
address Canaan, Lun. County
Relationship to deceased wife
21. Place of burial Sherwood
Date of burial June 4, 1971
22. Undertaker Davis Funeral Home, Chester, N.S
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 1, 1971
CAUSE OF DEATH
(a) Cardiac arrest
(b) coronary thrombosis
(c) atherosclerotic heart disease
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495877
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