Male Death Registration: Year: 1971 number: 5717
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005717
1. PLACE OF DEATH County of Annapolis If in City or Town Bridgetown
If death occured in a hospital or institution Mountain Lea Lodge
3. PRINT NAME OF DECEASED Anderson, Harold Bernard
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Port Lorne
9. DATE OF BIRTH 11 18, 1893
10. AGE in Years77 Months9 Days26 | hrs or mins
11. Trade or profession
12. Kind of industry Retired Merchant
13. Date last worked 14. Total years 35
15. If married name of spouse
16. NAME of Father Joseph Anderson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Charlotte Cropley
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Joseph Anderson
address Fort McMurray, Alberta
Relationship to deceased Son
21. Place of burial Port Lorne, Nova Scotia
Date of burial 16 September 1971
22. Undertaker Robert L. Hall, Bridgetown Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 13, 1971
CAUSE OF DEATH
(a) Chronic Hepatitis
(b)
(c)
other Congestive Heart Failure
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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