Male Death Registration: Year: 1971 number: 4829
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004829
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Barkers Nursing Home
3. PRINT NAME OF DECEASED Grosvold, Halvard Tolleson
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Norwegian
7. Single, Married
married
8. BIRTHPLACE Norway
9. DATE OF BIRTH 12 18, 1888
10. AGE in Years82 Months5 Days22 | hrs or mins
11. Trade or profession Retired Farmer
12. Kind of industry
13. Date last worked 1952 14. Total years 45 yrs
15. If married name of spouse Inga Grosvold
16. NAME of Father Tollef Grosvold
17. BIRTHPLACE Norway
18. NAME of Mother
19. BIRTHPLACE Norway
20. Signature of Informant Mrs. Irving Pool
address 10 Elm Street, Pictou
Relationship to deceased Daughter
21. Place of burial Haliburton, Pictou Co., NS
Date of burial July 12, 1971
22. Undertaker McLaren Funeral Home, Pictou
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 10, 1971
CAUSE OF DEATH
(a) Arteriosclerotic Heart Disease
(b) Coronary Occlusion
(c) Arteriosclerosis
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496904
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