Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Stanley Harris Wagner death at Amherst, Cumberland County on August 25, 1971

Male Death Registration: Year: 1971 number: 5497

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 005497

1. PLACE OF DEATH   County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital

3. PRINT NAME OF DECEASED Wagner, Stanley Harris

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

widowed

8. BIRTHPLACE River Hebert

9. DATE OF BIRTH 11  12, 1904

10. AGE in  Years66  Months9  Days13 | hrs or mins

11. Trade or profession Miner

12. Kind of industry

13. Date last worked about 1 yr ago       14. Total years Life

15. If married name of spouse Florence V. Wagner

16. NAME of Father James Wagner

17. BIRTHPLACE Bridgewater

18. NAME of Mother Beatrice Brown

19. BIRTHPLACE Little River

20. Signature of Informant Sheldon Wagner

      address River Hebert

      Relationship to deceased Son

21. Place of burial River Hebert East

      Date of burial August 28, 1971

22. Undertaker Furlong's Funeral Home Ltd. Amherst, NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH August 25, 1971

CAUSE OF DEATH

(a) Circulatory suffocation

(b) progressive thrombosis, R & L pulmonary artery

(c)

other Poor nutrition, chronic

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