Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
August Pedersen death at Amherst, Cumberland County on July 2, 1971
Male Death Registration: Year: 1971 number: 4538
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004538
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Pedersen, August
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Danish
7. Single, Married
married
8. BIRTHPLACE Denmark
9. DATE OF BIRTH 8 28, 1905
10. AGE in Years65 Months10 Days4 | hrs or mins
11. Trade or profession Swine Herdsman
12. Kind of industry Dominion Government Farm
13. Date last worked August - 70 14. Total years 20 yrs
15. If married name of spouse Ruby Paddock
16. NAME of Father Hans Pederson
17. BIRTHPLACE Denmark
18. NAME of Mother Jensine Jensen
19. BIRTHPLACE Denmark
20. Signature of Informant Ruby Pederson
address RR#6 Nappan, NS
Relationship to deceased wife
21. Place of burial Amherst Cemetery Company, Amherst, NS
Date of burial July 4, 1971
22. Undertaker Furlong's Funeral Home Ltd. Amherst, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 2, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Carcinoma of Pancreas
(c) Cachexia
other
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