Male Death Registration: Year: 1971 number: 5020
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005020
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution Colchester County Hospital
3. PRINT NAME OF DECEASED Archibald, David Aubrey
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 29, 1888
10. AGE in Years83 Months6 Days5 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry retired
13. Date last worked 1960 14. Total years Life
15. If married name of spouse
16. NAME of Father David Archibald
17. BIRTHPLACE NS
18. NAME of Mother Susan Dickie
19. BIRTHPLACE NS
20. Signature of Informant Shirley Fleming
address Eastern Passage NS
Relationship to deceased Step Daughter
21. Place of burial Upper Musquodoboit, NS
Date of burial 5 Aug 1971
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 3, 1971
CAUSE OF DEATH
(a) Carcinoma of bladder with metastasis
(b)
(c)
other Congestive heart failure Arteriosclerosis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497094
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