Male Death Registration: Year: 1971 number: 4443
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004443
1. PLACE OF DEATH County of Hants If in City or Town Eastern Passage
If death occured in a hospital or institution Ocean View Manor
3. PRINT NAME OF DECEASED Baker, John Vincent
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
White
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 11 6, 1875
10. AGE in Years95 Months8 Days6 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Eileen Dempsey
16. NAME of Father James Baker
17. BIRTHPLACE NS
18. NAME of Mother Catherine Adams
19. BIRTHPLACE NS
20. Signature of Informant Percy Baker
address Terence Bay, Hfx. Co., NS
Relationship to deceased Son
21. Place of burial Mount Olivet, Hfx., NS
Date of burial July 15, 1971
22. Undertaker J. Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 12, 1971
CAUSE OF DEATH
(a) Arteriosclerosis
(b) Coronary Thrombosis
(c)
other Basal Cell Carcinoma & Broncho Pneumonia
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496518
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