Male Death Registration: Year: 1971 number: 5715
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005715
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Civic Hospital
3. PRINT NAME OF DECEASED Baker, Nicholas John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 3 9, 1890
10. AGE in Years81 Months6 Days21 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Customs Officer
13. Date last worked January 1965 14. Total years 29 years
15. If married name of spouse Margaret J. Baker
16. NAME of Father John J. Baker
17. BIRTHPLACE Halifax, NS
18. NAME of Mother Mary Power
19. BIRTHPLACE Halifax, NS
20. Signature of Informant B. F. Baker
address Ontario
Relationship to deceased Son
21. Place of burial Gate of Heaven, Lower Sackville, NS
Date of burial 4 October 1971
22. Undertaker Dartmouth Funeral Home, F. A. McDonald
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 30, 1971
CAUSE OF DEATH
(a) Myeloma
(b)
(c)
other Metastasis to the Liver
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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