Male Death Registration: Year: 1971 number: 3958
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003958
1. PLACE OF DEATH County of Queens If in City or Town Caledonia
3. PRINT NAME OF DECEASED Moland, George Henry
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE East Chester
9. DATE OF BIRTH 8 3, 1885
10. AGE in Years85 Months10 Days11 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Carpenter
13. Date last worked 1956 14. Total years
15. If married name of spouse Amie S. Moland
16. NAME of Father David Moland
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Emma Walker
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Weldon L. Moland
address 56 Sainter St. Milford, Mass, USA
Relationship to deceased Son
21. Place of burial Caledonia, Queens Co., NS
Date of burial June 17, 1971
22. Undertaker Chandlers' Funeral Service Ltd., Liverpool, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 14, 1971
CAUSE OF DEATH
(a) Cerebrovascular Accident
(b) Hypertension
(c) Generalized Arteriosclerosis
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496034
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