Male Death Registration: Year: 1971 number: 4902
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004902
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 Messervey, Frederick Read
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 10 14, 1898
10. AGE in Years72 Months9 Days26 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Custom Officer
13. Date last worked 1963 14. Total years 38 Yrs
15. If married name of spouse Late Jane Messervey
16. NAME of Father Albert Frederick Messervey
17. BIRTHPLACE Halifax Nova Scotia
18. NAME of Mother Miriam Louise Perham
19. BIRTHPLACE Red Bay Labradore
20. Signature of Informant Mrs. Esther E Berry
address 56 Welland St, Malden, Mass.
Relationship to deceased Sister
21. Place of burial Camphill Cemetery Hfx
Date of burial August 11, 1971
22. Undertaker Cruikshank's Funeral Home Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 9, 1971
CAUSE OF DEATH
(a) Atrial fibrillation pneumonia & hemoptysis
(b)
(c)
other ? Uremia ? Myocardial Infarction
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496977
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