Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Fred Charles VanLarkin death at New Glasgow, Pictou County on August 15, 1971
Male Death Registration: Year: 1971 number: 5174
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005174
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 VanLarkin, Fred Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Belgian
7. Single, Married
married
8. BIRTHPLACE Belgium
9. DATE OF BIRTH 7 23, 1899
10. AGE in Years72 Months Days23 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Miner
13. Date last worked 1964 14. Total years life
15. If married name of spouse Jemima
16. NAME of Father Dominic VanLarkin
17. BIRTHPLACE Holland
18. NAME of Mother Philomene Lambert
19. BIRTHPLACE Holland
20. Signature of Informant Mrs. Fred VanLarkin
address Pleasant Avenue, Stellarton
Relationship to deceased Wife
21. Place of burial Brookside Cemetery, Stellarton
Date of burial Aug 18, 1971
22. Undertaker MacQuarrie, Stellarton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 15, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Ventricular Fibrillation
(c)
other
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