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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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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