Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ernest Deblois Mack death at Halifax, Halifax County on October 5, 1971
Male Death Registration: Year: 1971 number: 5856
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005856
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution V.G Hospital
3. PRINT NAME OF DECEASED Mack, Ernest Deblois
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Bridgetown
9. DATE OF BIRTH 4 22, 1913
10. AGE in Years58 Months5 Days13 | hrs or mins
11. Trade or profession
12. Kind of industry Meat Cutter
13. Date last worked 1965 14. Total years 25 yrs
15. If married name of spouse Mrs. Charlotte Mack
16. NAME of Father Thomas Mack
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Zillah Young
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Gerald Mack
address Bridgetown, NS
Relationship to deceased Son
21. Place of burial Bridgetown, NS
Date of burial October 8, 1971
22. Undertaker Robert L. Hall at Bridgetown Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 5, 1971
CAUSE OF DEATH
(a) (a) due to Cirrhosis
(b) (b) due to Portal Hypertension
(c) (c) Esophageal Varices
other
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