Male Death Registration: Year: 1971 number: 4266
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004266
1. PLACE OF DEATH County of Halifax If in City or Town Sheet Harbour
If death occured in a hospital or institution Eastern Shore Memorial Hospital
3. PRINT NAME OF DECEASED Cruikshank, Edward Reginald
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 30, 1909
10. AGE in Years62 Months2 Days6 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry Scott Paper Co.
13. Date last worked Dec 16,1970 14. Total years 30 yrs
15. If married name of spouse Elva Mary
16. NAME of Father Martin Cruikshank
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Bridget Redmond
19. BIRTHPLACE Nova Scotia
20. Signature of Informant C. Cruikshank
address Sheet Harbour, NS
Relationship to deceased Son
21. Place of burial Sheet Harbour, NS
Date of burial June 7, 1971
22. Undertaker Duncan S. Crowell, Sheet Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 5, 1971
CAUSE OF DEATH
(a) Carcinoma of Lung
(b) Metastatic Carcinoma
(c) Pulmonary Tuberculosis
other Emphysema
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496341
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