Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Winburn Oscar Nickerson death at Newellton, Shelburne County on June 26, 1971

Male Death Registration: Year: 1971 number: 4200

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 004200

1. PLACE OF DEATH   County of Shelburne If in City or Town Newellton
If death occured in a hospital or institution Highway 330, NS- on route to hospital

3. PRINT NAME OF DECEASED Nickerson, Winburn Oscar

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

widowed

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 4  9, 1887

10. AGE in  Years84  Months2  Days17 | hrs or mins

11. Trade or profession Fisherman

12. Kind of industry

13. Date last worked 1946       14. Total years 50

15. If married name of spouse

16. NAME of Father Berton Nickerson

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Margret  Cunningham

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Edward Nickerson

      address Clarks Harbour, NS

      Relationship to deceased Son

21. Place of burial West Head, NS

      Date of burial June 30, 1971

22. Undertaker Kenney Funeral Service, Barrington, NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH June 26, 1971

CAUSE OF DEATH

(a) Congestive Cardiac Failure

(b) Cor Pulmonale

(c) Emphysema

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496275

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