Male Death Registration: Year: 1971 number: 4205
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004205
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional Hospital
3. PRINT NAME OF DECEASED Atkinson, Francis Morton
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 12, 1893
10. AGE in Years77 Months9 Days4 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry
13. Date last worked 1966 14. Total years 25 yrs
15. If married name of spouse Ruth E. Atkinson
16. NAME of Father Howard Atkinson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Smith
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. M.E. Christie
address Crowells PO Shel. Co., NS
Relationship to deceased Daughter
21. Place of burial Centerville, NS
Date of burial June 20, 1971
22. Undertaker Kenny Funeral Service, Barrington, Shel. Co. NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 16, 1971
CAUSE OF DEATH
(a) Congestive heart failure
(b) Arteriosclerotic heart disease
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496280
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