Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Samuel Facey death at New Glasgow, Pictou County on July 14, 1971
Male Death Registration: Year: 1971 number: 4835
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004835
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hospital
3. PRINT NAME OF DECEASED Facey, Samuel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Trinity Bay, Newfoundland
9. DATE OF BIRTH 12 22, 1893
10. AGE in Years77 Months6 Days22 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Merchant
13. Date last worked 14. Total years
15. If married name of spouse Clarrie MacDonald
16. NAME of Father Samuel Facey
17. BIRTHPLACE Newfoundland
18. NAME of Mother Catherine White
19. BIRTHPLACE Newfoundland
20. Signature of Informant Miss Eva Facey
address 264 Marsh St, New Glasgow, NS
Relationship to deceased Daughter
21. Place of burial Heatherdale Memorial Gardens, Alma, Nova Scotia
Date of burial July 17, 1971
22. Undertaker R. H. Porter Funeral Homes Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 14, 1971
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b) Arteriosclerosis
(c) Arteriosclerotic Heart Disease
other Atrial Fibrillation
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