Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Byron Stanford Kaiser death at Antigonish, Antigonish County on June 30, 1971
Male Death Registration: Year: 1971 number: 4126
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004126
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital, Antigonish, NS
3. PRINT NAME OF DECEASED Kaiser, Byron Stanford
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 4, 1884
10. AGE in Years87 Months Days30 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Laura Johnson (deceased)
16. NAME of Father Mark Kaiser
17. BIRTHPLACE NS
18. NAME of Mother Rebeccah Cooke
19. BIRTHPLACE NS
20. Signature of Informant V. Sponagle
address Goldboro, NS
Relationship to deceased Son in Law
21. Place of burial Isaac's Harbour, NS
Date of burial July 2, 1971
22. Undertaker Parker Giffin, Goldboro, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 30, 1971
CAUSE OF DEATH
(a) Carcinoma of Pancreas
(b)
(c)
other Pulmonary Embolism
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