Male Death Registration: Year: 1971 number: 4100
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004100
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital, Halifax, NS
3. PRINT NAME OF DECEASED Avery, Emmett Isaac
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Canso
9. DATE OF BIRTH 2 6, 1925
10. AGE in Years46 Months4 Days22 | hrs or mins
11. Trade or profession Foreman
12. Kind of industry Fish Plant
13. Date last worked May 1971 14. Total years
15. If married name of spouse Dorothy Avery
16. NAME of Father Jeffrey Avery
17. BIRTHPLACE Guys. Co., NS
18. NAME of Mother Mamie Gerrior
19. BIRTHPLACE Guys. Co., NS
20. Signature of Informant W. B. Marcott
address Canso, NS
Relationship to deceased Brother in Law
21. Place of burial Star of the Sea, Canso, NS
Date of burial July 1, 1971
22. Undertaker Nathan Rhynold
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 28, 1971
CAUSE OF DEATH
(a) Cirrhosis of Liver
(b) Progressive Renal Failure
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496175
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