Male Death Registration: Year: 1971 number: 5819
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005819
1. PLACE OF DEATH County of Yarmouth If in City or Town Cape Forchu
3. PRINT NAME OF DECEASED King, Winslow Everett
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Lockeport, Shelburne County
9. DATE OF BIRTH 1 16, 1885
10. AGE in Years86 Months8 Days11 | hrs or mins
11. Trade or profession Retired Fisherman
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Edward King
17. BIRTHPLACE Lockeport, Shelburne Co., NS
18. NAME of Mother Jennie Williams
19. BIRTHPLACE Nova Scotia
20. Signature of Informant William H. King
address Pembroke, Yarmouth Co., NS
Relationship to deceased Son
21. Place of burial Chegoggin, Yarmouth Co., NS
Date of burial 30 September 1971
22. Undertaker Sweeny's Funeral Home, Yarmouth Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 27, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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