Male Death Registration: Year: 1971 number: 5832
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005832
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Willow Nursing Home
3. PRINT NAME OF DECEASED Kirk, James Arthur
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Pennant, Halifax County
9. DATE OF BIRTH 9 25, 1883
10. AGE in Years88 Months Days3 | 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 Lucy Gray
16. NAME of Father James Kirk
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Hannah Gray
19. BIRTHPLACE Nova Scotia
20. Signature of Informant George Kirk
address Sambro, Halifax Co., NS
Relationship to deceased Son
21. Place of burial St. James Cemetery, Sambro, Halifax Co., NS
Date of burial 30 September 1971
22. Undertaker J. Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 28, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b) Arteriosclerotic Heart Disease
(c)
other Parkinson's Disease
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497906
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