Male Death Registration: Year: 1971 number: 5891
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005891
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution Colchester Hospital
3. PRINT NAME OF DECEASED Adams, Augustus
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE England
9. DATE OF BIRTH 7 29, 1887
10. AGE in Years84 Months1 Days23 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked 1962 14. Total years 38 years
15. If married name of spouse
16. NAME of Father Ebenezar Adams
17. BIRTHPLACE England
18. NAME of Mother Emma Moody
19. BIRTHPLACE England
20. Signature of Informant Mr. Russell Adams
address RR #1, Debert, Colchester Co., NS
Relationship to deceased Son
21. Place of burial Glenholme, Colchester Co., NS
Date of burial 24 September 1971
22. Undertaker McCulloch and Patriquin Funeral Home, Great Village, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 21, 1971
CAUSE OF DEATH
(a) Renal Failure
(b) Prostatectomy and Urinary Tract Infection
(c)
other Carcinoma of Rectum, removed in 1969
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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