Male Death Registration: Year: 1971 number: 5214
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005214
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution 8 Reserve Road
3. PRINT NAME OF DECEASED Kelly, Howard Edwin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
divorced
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 2 23, 1916
10. AGE in Years55 Months6 Days7 | hrs or mins
11. Trade or profession Mechanic
12. Kind of industry
13. Date last worked Aug 30/71 14. Total years
15. If married name of spouse
16. NAME of Father Howard Kelly
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Melissa Gates
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Edwin Kelly
address RR#1, Chester Basin
Relationship to deceased Son
21. Place of burial St. Johns, Hfx.
Date of burial Sept 2, 1971
22. Undertaker J. Allen Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 30, 1971
CAUSE OF DEATH
(a) Coronary Occlusion
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497288
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