Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
James Alfred Underhill death at Halifax, Halifax County on September 21, 1971
Male Death Registration: Year: 1971 number: 5556
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005556
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution 5222 Green St.
3. PRINT NAME OF DECEASED Underhill, James Alfred
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Newcastle, New Brunswick
9. DATE OF BIRTH 7 4, 1918
10. AGE in Years53 Months2 Days17 | hrs or mins
11. Trade or profession office supervisor
12. Kind of industry C.N.R.
13. Date last worked Sept.21/71 14. Total years 31 yrs
15. If married name of spouse Mildred Underhill
16. NAME of Father Howard Underhill
17. BIRTHPLACE New Brunswick
18. NAME of Mother
19. BIRTHPLACE New Brunswick
20. Signature of Informant J. David Underhill
address 19 Tobermory Rd., Dartmouth
Relationship to deceased Son
21. Place of burial Newcastle, N.B.
Date of burial Sept 22, 1971
22. Undertaker Cruikshank Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 21, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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