Male Death Registration: Year: 1971 number: 4957
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004957
1. PLACE OF DEATH County of Lunenburg If in City or Town Garden Lots
If death occured in a hospital or institution at Home
3. PRINT NAME OF DECEASED Herman, Herbert Lemuel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE First Peninsula
9. DATE OF BIRTH 8 7, 1887
10. AGE in Years83 Months11 Days30 | hrs or mins
11. Trade or profession Retired plumber
12. Kind of industry Plumbing
13. Date last worked 1950 14. Total years 45
15. If married name of spouse Helen Herman Dec'd
16. NAME of Father George Herman
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Christina Risser
19. BIRTHPLACE Nova Scotia
20. Signature of Informant George Herman
address Garden Lots, Lun. Co. Ns
Relationship to deceased son
21. Place of burial Garden Lots, NS
Date of burial August 9, 1971
22. Undertaker Dana L Sweeney Funeral Home Ltd, Lunenburg
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 6, 1971
CAUSE OF DEATH
(a) Cardiac Arrest
(b) Arteriosclerotic Heart Disease
(c) Generalized Arteriosclerosis
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497032
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