Male Death Registration: Year: 1971 number: 4009
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004009
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Civic Hospital
3. PRINT NAME OF DECEASED Ferguson, Creighton Ernest
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 27, 1919
10. AGE in Years52 Months1 Days26 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry
13. Date last worked 11 May '71 14. Total years Life
15. If married name of spouse Frances Ferguson
16. NAME of Father Harry Ferguson
17. BIRTHPLACE NS
18. NAME of Mother Edith MacDonald
19. BIRTHPLACE NS
20. Signature of Informant Lorne Ferguson
address Enfield, NS
Relationship to deceased Son
21. Place of burial Enfield, NS
Date of burial 22 June '71
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 19, 1971
CAUSE OF DEATH
(a) Brain stem injury
(b)
(c)
other Work Accident: fell off staging
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496084
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