Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Arthur Dickie Colburn death at Halifax, Halifax County on July 26, 1971
Male Death Registration: Year: 1971 number: 4709
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004709
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 Colburn, Arthur Dickie
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Anglo-Saxon
7. Single, Married
married
8. BIRTHPLACE Cumb. County
9. DATE OF BIRTH 7 12, 1892
10. AGE in Years79 Months Days14 | hrs or mins
11. Trade or profession Retired Station Agent
12. Kind of industry
13. Date last worked 1957 14. Total years lifetime
15. If married name of spouse Mrs. Olga Colburn
16. NAME of Father Stephen Colburn
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Carolin Angevine
19. BIRTHPLACE Nova Scotia
20. Signature of Informant S. Colburn
address Tatamagouche, NS
Relationship to deceased Son
21. Place of burial Pine Grove Cemetery, Oxford
Date of burial July 29, 1971
22. Undertaker Harry R. Bonnyman, Tatamagouche, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 26, 1971
CAUSE OF DEATH
(a) Possible Pulmonary Embolism
(b) Large Bowel Obstruction
(c) Diverticulitis
other
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