Male Death Registration: Year: 1971 number: 4071
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004071
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional Hospital
3. PRINT NAME OF DECEASED Swaine, Frederick
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Yarmouth
9. DATE OF BIRTH 4 19, 1893
10. AGE in Years78 Months1 Days12 | hrs or mins
11. Trade or profession Stevedore
12. Kind of industry
13. Date last worked 1955 14. Total years
15. If married name of spouse Mary Elizabeth Swaine
16. NAME of Father Eldridge Swaine
17. BIRTHPLACE Black Point, NS
18. NAME of Mother Mary Jane Smith
19. BIRTHPLACE Yarmouth, NS
20. Signature of Informant Mrs. Mary Elizabeth Swaine
address 24 Argyle St, Yarmouth, NS
Relationship to deceased Wife
21. Place of burial Our Lady of Calvary, Yarmouth, NS
Date of burial June 2, 1971
22. Undertaker H. M. Huskilsons Funeral Home, Albert Street, Yarmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 31, 1971
CAUSE OF DEATH
(a) Leaky Abdomen and Aortic Aneurysm
(b) Arteriosclerosis
(c) Hypertension
other Peritoneal glaucus Tuberculosis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496146
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