Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Herman St. Clair Parker death at Moschelle, Annapolis County on June 24, 1971

Male Death Registration: Year: 1971 number: 4120

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 004120

1. PLACE OF DEATH   County of Annapolis If in City or Town Moschelle
If death occured in a hospital or institution on highway

3. PRINT NAME OF DECEASED Parker, Herman St. Clair

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

married

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 2  18, 1917

10. AGE in  Years54  Months4  Days6 | hrs or mins

11. Trade or profession Electrical Supervisor

12. Kind of industry Department of National Defence

13. Date last worked June 24/71       14. Total years 20

15. If married name of spouse Phyllis Barteaux

16. NAME of Father Herman Parker

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Hattie Selig

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Phyllis Parker

      address 34 Bridge Street, Middleton, NS

      Relationship to deceased Wife

21. Place of burial Middleton, Anna. Co. NS

      Date of burial June 27, 1971

22. Undertaker Warren T. Roop Ltd, Middleton, NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH June 24, 1971

CAUSE OF DEATH

(a) Acute Myocardial Infarction while driving a car

(b)

(c)

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496195

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