Male Death Registration: Year: 1971 number: 5132
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005132
1. PLACE OF DEATH County of Colchester If in City or Town North River
If death occured in a hospital or institution Taylor's Motel, North River, Colchester Co., NS
3. PRINT NAME OF DECEASED Saikin, Elton Jack
4. Sex
Male
5. Citizenship
American
6. Racial Origin
Jewish
7. Single, Married
married
8. BIRTHPLACE Florida, USA
9. DATE OF BIRTH 9 27, 1921
10. AGE in Years49 Months10 Days18 | hrs or mins
11. Trade or profession Electronics Technician
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Dorothy
16. NAME of Father Abraham Saikin
17. BIRTHPLACE
18. NAME of Mother Anna
19. BIRTHPLACE
20. Signature of Informant Jane S. Doyle
address Washington, DC
Relationship to deceased
21. Place of burial Washington, DC, USA
Date of burial Aug 15, 1971
22. Undertaker Mattatall Funeral Home, Truro, Colchester Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 15, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497206
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