Male Death Registration: Year: 1971 number: 5926
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005926
1. PLACE OF DEATH County of Kings If in City or Town Berwick
If death occured in a hospital or institution Grand View Manor
3. PRINT NAME OF DECEASED Dalton, Charles Raymond
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Kings County
9. DATE OF BIRTH 6 29, 1877
10. AGE in Years94 Months2 Days28 | hrs or mins
11. Trade or profession Retired Orderly
12. Kind of industry
13. Date last worked October 1957 14. Total years 40 years
15. If married name of spouse
16. NAME of Father Michael Dalton
17. BIRTHPLACE Ireland
18. NAME of Mother Mary Harkins
19. BIRTHPLACE Portland, Maine, USA
20. Signature of Informant Edward Grenough
address RR #2, Wolfville, Kings Co., NS
Relationship to deceased Brother In Law
21. Place of burial Holy Cross Cemetery, Kentville, NS
Date of burial 28 September 1971
22. Undertaker John P. Covert, Kentville, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 26, 1971
CAUSE OF DEATH
(a) Cerebrovascular Accident
(b) Arteriosclerosis
(c)
other Diabetes Mellitus
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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