Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Owen William Peterson death at Berwick, Kings County on July 23, 1971

Male Death Registration: Year: 1971 number: 4951

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 004951

1. PLACE OF DEATH   County of Kings If in City or Town Berwick
If death occured in a hospital or institution Grand View Manor

3. PRINT NAME OF DECEASED Peterson, Owen William

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

married

8. BIRTHPLACE Chipman Brook, Kings County Nova Scotia

9. DATE OF BIRTH 10  17, 1888

10. AGE in  Years82  Months9  Days6 | hrs or mins

11. Trade or profession Laborer

12. Kind of industry

13. Date last worked       14. Total years

15. If married name of spouse Edna Arenburgh

16. NAME of Father Peter Peterson

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Ida Sanford

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Mrs Edna Peterson

      address Cambridge, Kings Co. NS

      Relationship to deceased wife

21. Place of burial Berwick, NS

      Date of burial July 26, 1971

22. Undertaker H C Lindsay Funeral Home , Berwick

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH July 23, 1971

CAUSE OF DEATH

(a) Bronchopneumonia

(b) Arteriosclerotic Heart Disease

(c)

other Senility

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497026

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