Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
James Arthur Adams death at Lunenburg, Lunenburg County on September 27, 1971
Male Death Registration: Year: 1971 number: 5791
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005791
1. PLACE OF DEATH County of Lunenburg If in City or Town Lunenburg
If death occured in a hospital or institution Fisherman's Memorial Hospital
3. PRINT NAME OF DECEASED Adams, James Arthur
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Dublin Shore
9. DATE OF BIRTH 4 24, 1885
10. AGE in Years86 Months5 Days3 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Deceased
16. NAME of Father John Adams
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Janet Adams
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Lemuel Adams
address Dublin Shore
Relationship to deceased Son
21. Place of burial Dublin Shore
Date of burial September 30, 1971
22. Undertaker Charles Sweeney, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 27, 1971
CAUSE OF DEATH
(a) Pneumonia
(b) CVA
(c)
other
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