Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Alonzo James Kelly death at Antigonish, Antigonish County on June 1, 1971
Male Death Registration: Year: 1971 number: 4228
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004228
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
3. PRINT NAME OF DECEASED Kelly, Alonzo James
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Mulgrave, Guys. County
9. DATE OF BIRTH 5 22, 1907
10. AGE in Years64 Months0 Days10 | hrs or mins
11. Trade or profession Retired
12. Kind of industry C.N.R.
13. Date last worked 1968 14. Total years 30 yrs
15. If married name of spouse Agnes Kelly
16. NAME of Father John Kelly
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Anastasia Keay
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Agnes Kelly
address General Delivery, Mulgrave
Relationship to deceased Wife
21. Place of burial Mulgrave
Date of burial June 4, 1971
22. Undertaker Thompson & Haverstock Funeral Home, Port Hawkesbury
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 1, 1971
CAUSE OF DEATH
(a) Acute Anterior Myocardial Infarction
(b) Coronary Artery Disease
(c)
other
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