Male Death Registration: Year: 1971 number: 5404
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005404
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 Wallace, George David White
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 23, 1887
10. AGE in Years83 Months10 Days5 | hrs or mins
11. Trade or profession Retired Miner
12. Kind of industry Coal Mine
13. Date last worked 14. Total years
15. If married name of spouse Mary Ann Muir
16. NAME of Father John Wallace
17. BIRTHPLACE Scotland
18. NAME of Mother Elizabeth White
19. BIRTHPLACE Nova Scotia
20. Signature of Informant James R. Sutherland
address 9536 74th Street, Edmonton, Alberta
Relationship to deceased Step Son
21. Place of burial Abercrombie Cemetery, Abercrombie, Pictou Co., NS
Date of burial Aug 31, 1971
22. Undertaker Eagles Funeral Home, Westville, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 28, 1971
CAUSE OF DEATH
(a) Embolism
(b) Cerebrovascular accident
(c) Chronic Myocarditis
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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