Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Ralph Regan death at Berwick, Kings County on September 18, 1971

Male Death Registration: Year: 1971 number: 6027

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 006027

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 Regan, Ralph

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

Irish

7. Single, Married

married

8. BIRTHPLACE Port Williams

9. DATE OF BIRTH 8  23, 1889

10. AGE in  Years82  Months0  Days25 | hrs or mins

11. Trade or profession Farmer

12. Kind of industry Farming

13. Date last worked 1956       14. Total years

15. If married name of spouse Jessie Emma Garland

16. NAME of Father Mark Regan

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Laura Lockwood

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Ralph Regan

      address Port Williams

      Relationship to deceased Son

21. Place of burial Church St. Cemetery

      Date of burial September 20, 1971

22. Undertaker H.C. Lindsay Funeral Homes Ltd.

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH September 18, 1971

CAUSE OF DEATH

(a) Myocardial Infarction

(b) ASHD

(c)

other

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