Male Death Registration: Year: 1971 number: 4018
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004018
1. PLACE OF DEATH County of Colchester If in City or Town Truro
3. PRINT NAME OF DECEASED Baker, Harvey Archibald
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Oak Bay Mills, PQ
9. DATE OF BIRTH 3 10, 1898
10. AGE in Years73 Months1 Days5 | hrs or mins
11. Trade or profession Retired Yard Foreman
12. Kind of industry Lumbering
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Thomas Baker
17. BIRTHPLACE NB
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant W. D. Baker
address Apt 33, Newman St., Hazel House, Saint John, NB
Relationship to deceased son
21. Place of burial Economy, NS
Date of burial April 17, 1971
22. Undertaker D. B. Carmody, Truro, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 15, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b) Arteriosclerotic Heart Disease
(c)
other Chronic Obstructive Lung Disease
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496093
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