Male Death Registration: Year: 1971 number: 4116
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004116
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
3. PRINT NAME OF DECEASED Fox, Carroll Arthur
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 6, 1894
10. AGE in Years76 Months7 Days28 | hrs or mins
11. Trade or profession Shipping Agent
12. Kind of industry
13. Date last worked 1960 14. Total years 50
15. If married name of spouse Mrs. C. A. Fox
16. NAME of Father Neil Fox
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Marg Nolan
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. M. E. Fox
address 2111 Popular Street, Hfx, NS
Relationship to deceased Wife
21. Place of burial Mt. Olivet, Hfx, NS
Date of burial July 7, 1971
22. Undertaker Snow & Co., Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 5, 1971
CAUSE OF DEATH
(a) Lobar Pneumonia
(b) Carcinoma of Lung (Primary)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496191
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