Male Death Registration: Year: 1971 number: 5164
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005164
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hospital
3. PRINT NAME OF DECEASED Foster, Samuel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Stellarton
9. DATE OF BIRTH 2 11, 1906
10. AGE in Years65 Months5 Days27 | hrs or mins
11. Trade or profession mechanic
12. Kind of industry Garage
13. Date last worked 1968 14. Total years
15. If married name of spouse Annie
16. NAME of Father William Foster
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Matilda Chaulker
19. BIRTHPLACE NFLD
20. Signature of Informant Mrs Samuel Foster
address 116 North Provost, New Glasgow
Relationship to deceased wife
21. Place of burial Brookside Cemetery, Stellarton
Date of burial Aug 10th, 1971
22. Undertaker MacQuarrie, Stellarton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 7, 1971
CAUSE OF DEATH
(a) myocardial infarction
(b)
(c)
other diverticulitis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497238
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