Male Death Registration: Year: 1971 number: 4935
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004935
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution 4 Prince Arthur Street
3. PRINT NAME OF DECEASED Thoms, George
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
separated
8. BIRTHPLACE Carbonear, Nfld
9. DATE OF BIRTH 10 14, 1879
10. AGE in Years91 Months8 Days29 | hrs or mins
11. Trade or profession Retired Shoemaker
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father James Thomas
17. BIRTHPLACE
18. NAME of Mother Mary Ann
19. BIRTHPLACE
20. Signature of Informant Mrs Hazel Belliveau
address 4 Prince Arthur Street, Amherst, NS
Relationship to deceased Landlady
21. Place of burial Amherst Cemetery Co., Amherst, NS
Date of burial July 15, 1971
22. Undertaker Furlong's Funeral Home Ltd, Amherst, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 13, 1971
CAUSE OF DEATH
(a) Coronary thrombosis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497010
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