Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Arthur Edward Messom death at Waterville, Kings County on June 28, 1971
Male Death Registration: Year: 1971 number: 5045
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005045
1. PLACE OF DEATH County of Kings If in City or Town Waterville
If death occured in a hospital or institution Kings County Hospital
3. PRINT NAME OF DECEASED Messom, Arthur Edward
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Grand Pre, Kings County
9. DATE OF BIRTH 9 6, 1891
10. AGE in Years79 Months9 Days22 | hrs or mins
11. Trade or profession Retired Farmer
12. Kind of industry
13. Date last worked March 1958 14. Total years
15. If married name of spouse
16. NAME of Father Charles Messom
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Margaret Farris
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Aubrey S. Messom
address 230 Cornwallis Street, Kentville, NS
Relationship to deceased Brother
21. Place of burial Elm Grove Cemetery, Steam Mills, NS
Date of burial June 3, 1971
22. Undertaker John Pleasant, Kentville, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 28, 1971
CAUSE OF DEATH
(a) Acute Respiratory Failure
(b) Chronic Obstructive Lung Disease
(c) Spontaneous Pneumothorax
other Arteriosclerotic Coronary Disease & Cor Pulmonale. Malnutrition. Chronic Paranoid Schizophrenia
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