Male Death Registration: Year: 1971 number: 4722
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004722
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Kelly, Nathan Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Eastern Passage
9. DATE OF BIRTH 5 9, 1905
10. AGE in Years66 Months2 Days24 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Retail Fish Business
13. Date last worked 1965 14. Total years 45 yrs
15. If married name of spouse Vivian Kelly
16. NAME of Father Kelly
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth DeYoung
19. BIRTHPLACE Eastern Passage, NS
20. Signature of Informant Morton Kelly
address 90 Union St, Bedford, NS
Relationship to deceased Son
21. Place of burial Gate of Heaven, Lr Sack
Date of burial August 4, 1971
22. Undertaker Cruikshank Funeral Home Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 2, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b) Arteriosclerotic Heart Disease
(c)
other (illegible) Duodenal Ulcer
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496797
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