Male Death Registration: Year: 1971 number: 4883
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004883
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
3. PRINT NAME OF DECEASED Schubert, Frederick William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Germany
9. DATE OF BIRTH 3 31, 1889
10. AGE in Years82 Months4 Days4 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Stevadore
13. Date last worked 1957 14. Total years 45 yrs
15. If married name of spouse Late Pauline Schubert
16. NAME of Father Andrew Schubert
17. BIRTHPLACE Germany
18. NAME of Mother Susan Marr
19. BIRTHPLACE Germany
20. Signature of Informant Adolph Lang
address 60 Melody Dr. Rockingham - Halifax
Relationship to deceased Son in law
21. Place of burial Gates of Heaven Lr. Sackville
Date of burial August 6, 1971
22. Undertaker Cruikshanks Funeral Home Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 4, 1971
CAUSE OF DEATH
(a) Carcinoma Larynx
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496958
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