Male Death Registration: Year: 1971 number: 5978
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005978
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
3. PRINT NAME OF DECEASED Whiteley, James Douglas
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Dartmouth
9. DATE OF BIRTH 7 17, 1892
10. AGE in Years79 Months2 Days23 | hrs or mins
11. Trade or profession
12. Kind of industry Province of Nova Scotia
13. Date last worked 1958 14. Total years 26 years
15. If married name of spouse Perla Brennan
16. NAME of Father James E. Whiteley
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Walsh
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. J. D. Whiteley
address Apt 11, 1528 Summer Street, Halifax, NS
Relationship to deceased Wife
21. Place of burial Mt. Hermon Cemetery, Dartmouth, NS
Date of burial 13 October 1971
22. Undertaker Halifax Funeral Home Ltd., Halifax, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 10, 1971
CAUSE OF DEATH
(a) Acute Myocardial Disease
(b) Hypertension
(c)
other Coronary Artery Disease
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498052
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