Male Death Registration: Year: 1971 number: 4494
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004494
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Ferguson, John Alexander
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Cape Breton
9. DATE OF BIRTH 4 2, 1889
10. AGE in Years82 Months3 Days15 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Labour Work
13. Date last worked 1965 14. Total years 40 yrs
15. If married name of spouse Effie Ferguosn
16. NAME of Father Donald Ferguson
17. BIRTHPLACE NS
18. NAME of Mother
19. BIRTHPLACE NS
20. Signature of Informant Record Camp Hill Hospital
address Halifax, NS
Relationship to deceased
21. Place of burial Gabarus Lake, CB, NS
Date of burial July 2, 1971
22. Undertaker Halifax Funeral Home Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 17, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Arteriosclerotic Heart Disease
(c) Carcinoma Common bile duct
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496569
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