Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Nicholas John Baker death at Halifax, Halifax County on September 30, 1971

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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