Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Dominic Curtis Fitzgerald death at Sandy Point, Shelburne County on August 7, 1971
Male Death Registration: Year: 1971 number: 4972
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004972
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital
3. PRINT NAME OF DECEASED Fitzgerald, Dominic Curtis
4. Sex
Male
5. Citizenship
American
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Vermont, USA
9. DATE OF BIRTH 5 7, 1900
10. AGE in Years71 Months3 Days | hrs or mins
11. Trade or profession Barber
12. Kind of industry
13. Date last worked 1963 14. Total years 27 yrs
15. If married name of spouse Mrs. Alicia Fitzgerald
16. NAME of Father Michael Fitzgerald
17. BIRTHPLACE Vermont, USA
18. NAME of Mother Elizabeth Perry
19. BIRTHPLACE USA
20. Signature of Informant Alicia V. Fitzgerald
address Lockeport, Shel. Co., NS
Relationship to deceased Wife
21. Place of burial Lockeport, Shelb. Co., NS
Date of burial August 10, 1971
22. Undertaker Huskilson's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 7, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b) Atherosclerotic Heart Disease
(c) Coronary Atherosclerosis
other Bronchitis and Emphysema
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