Male Death Registration: Year: 1971 number: 6004
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006004
1. PLACE OF DEATH County of Cumberland If in City or Town Pugwash
3. PRINT NAME OF DECEASED Allen, Harold Stanley
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Sudbury, Ontario
9. DATE OF BIRTH 9 2, 1950
10. AGE in Years21 Months0 Days13 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Harold Allen
17. BIRTHPLACE New Brunswick
18. NAME of Mother Marion Pollard
19. BIRTHPLACE Northport
20. Signature of Informant Mrs. Marion Allen
address Pugwash
Relationship to deceased Mother
21. Place of burial Pugwash
Date of burial September 17, 1971
22. Undertaker W.I. Mundle, Pugwash
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 15, 1971
CAUSE OF DEATH
(a) Asphyxiation
(b) hanging
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498077
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