Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Addison O'Brien White death at Cole Harbour, Halifax County on June 9, 1971
Male Death Registration: Year: 1971 number: 3923
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003923
1. PLACE OF DEATH County of Halifax If in City or Town Cole Harbour
If death occured in a hospital or institution Hfx. Co. Hospital
3. PRINT NAME OF DECEASED White, Addison O'Brien
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Caucasian
7. Single, Married
married
8. BIRTHPLACE Noel Road, Hants County
9. DATE OF BIRTH 7 13, 1926
10. AGE in Years44 Months10 Days27 | hrs or mins
11. Trade or profession nil
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Mrs. Addison White
16. NAME of Father Daniel White
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Harvie
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Donna White
address Noel Road, Hants Co.
Relationship to deceased Wife
21. Place of burial Noel Rd.
Date of burial 11 June '71
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 9, 1971
CAUSE OF DEATH
(a) Aspiration Pneumonia
(b) Huntington's Chorea
(c)
other
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