Male Death Registration: Year: 1971 number: 5141
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005141
1. PLACE OF DEATH County of Cumberland If in City or Town Westchester
If death occured in a hospital or institution at summer home
3. PRINT NAME OF DECEASED Brinkert, Frederick
4. Sex
Male
5. Citizenship
American
6. Racial Origin
German
7. Single, Married
married
8. BIRTHPLACE Roxbury, Mass., USA
9. DATE OF BIRTH 6 23, 1901
10. AGE in Years70 Months1 Days29 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Ruth
16. NAME of Father Richard Brinkert
17. BIRTHPLACE United States
18. NAME of Mother Emma Anderer
19. BIRTHPLACE United States
20. Signature of Informant Mrs. Frederick Brinkert
address 219 Amory Street, Jamaica Plain, Mass., USA
Relationship to deceased Wife
21. Place of burial Jamaica Plain, Mass., USA
Date of burial Aug 24, 1971
22. Undertaker Mattatall Funeral Home, Truro,
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 21, 1971
CAUSE OF DEATH
(a) Acute Myocardial Ischemia
(b) Coronary Thrombosis
(c) Atheroma of the Coronary Arteries
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497215
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