Male Death Registration: Year: 1971 number: 4335
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004335
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Umlah, Bert Irvin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Goodwood, Halifax County
9. DATE OF BIRTH 7 31, 1890
10. AGE in Years80 Months11 Days1 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Steamship Cooper
13. Date last worked 1961 14. Total years 30 yrs
15. If married name of spouse Late Isabella Umlah
16. NAME of Father Joshua Umlah
17. BIRTHPLACE Goodwood, Halifax County
18. NAME of Mother Alice Boutilier
19. BIRTHPLACE Timberlea, Halifax County
20. Signature of Informant Herbert Umlah
address Goodwood, RR#2 Armdale
Relationship to deceased Son
21. Place of burial Fairview, Halifax, NS
Date of burial July 3, 1971
22. Undertaker Cruikshank Funeral Home, Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 1, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Arteriosclerotic Heart Disease
(c)
other Renal Failure
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496410
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