Male Death Registration: Year: 1971 number: 5223
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005223
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Mantley, George
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 15, 1900
10. AGE in Years71 Months3 Days8 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Alethia
16. NAME of Father Issac Mantley
17. BIRTHPLACE NS
18. NAME of Mother Annie Dickson
19. BIRTHPLACE NS
20. Signature of Informant Mrs. Alethia Mantley
address 2445 Bristol Place, Halifax
Relationship to deceased Wife
21. Place of burial Fairview Cemetery, Hfx.
Date of burial Aug 26, 1971
22. Undertaker Snow & Co. Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 23, 1971
CAUSE OF DEATH
(a) Chronic Renal Failure
(b) Chronic Congestive Heart Failure
(c)
other Diabetes Mellitis
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Note: African Nova Scotian
Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497297
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