Male Death Registration: Year: 1971 number: 4869
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004869
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 Morehouse, Charles Nelson
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 22, 1909
10. AGE in Years62 Months2 Days2 | hrs or mins
11. Trade or profession Doctor
12. Kind of industry Medical
13. Date last worked 1971 14. Total years life
15. If married name of spouse Grace Morehouse
16. NAME of Father Embree Morehouse
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ada Cossaboom
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Grace L. Morehouse
address 36 Broadholm Lane, Halifax
Relationship to deceased Wife
21. Place of burial East Noel Cemetery
Date of burial July 28, 1971
22. Undertaker Witham - McMillan, Upper Rawdon
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 24, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496944
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