Male Death Registration: Year: 1971 number: 4991
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004991
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Rubin, Isaac
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Jewish
7. Single, Married
married
8. BIRTHPLACE Lithuania
9. DATE OF BIRTH 4 13, 1906
10. AGE in Years65 Months4 Days2 | hrs or mins
11. Trade or profession Merchant
12. Kind of industry merchandising
13. Date last worked 1 July /71 14. Total years
15. If married name of spouse Sarah
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant S. Rubin, MD
address 282 Westmount Rd. Moncton, NB
Relationship to deceased Son
21. Place of burial Tuttle Brothers, Moncton, NB
Date of burial Aug 15, 1971
22. Undertaker Halifax Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 15, 1971
CAUSE OF DEATH
(a) Myelocytic Leukemia
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497066
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