Male Death Registration: Year: 1971 number: 4293
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004293
1. PLACE OF DEATH County of Lunenburg If in City or Town Lunenburg
If death occured in a hospital or institution Fisherman's Memorial Hospital
3. PRINT NAME OF DECEASED Ernst, Charles Gray
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Ernst Island, Lun. Co
9. DATE OF BIRTH 1 10, 1882
10. AGE in Years89 Months5 Days24 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry Retired
13. Date last worked 1950 14. Total years
15. If married name of spouse
16. NAME of Father Nathan Ernst
17. BIRTHPLACE Ernst Island
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs. Murray L. Ernst
address Mahone Bay, R.R#2
Relationship to deceased Daughter-in-law
21. Place of burial Martin's River, Lun. Co. NS
Date of burial July 6, 1971
22. Undertaker Mahone Funeral Home, Mahone Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 4, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Carcinoma of Bladder
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496368
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