Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Emmett Foster Stephens death at Sandy Point, Shelburne County on September 16, 1971
Male Death Registration: Year: 1971 number: 6145
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006145
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital
3. PRINT NAME OF DECEASED Stephens, Emmett Foster
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 29, 1909
10. AGE in Years61 Months9 Days18 | hrs or mins
11. Trade or profession Fish Handler
12. Kind of industry
13. Date last worked 1971 14. Total years 5 years
15. If married name of spouse Mrs. Edith Stephens
16. NAME of Father Othniel Stephens
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Agusta Roach
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Raymond W. Stephens
address Lockeport, Shelburne Co., NS
Relationship to deceased Son
21. Place of burial Lockeport Cemetery
Date of burial 19 September 1971
22. Undertaker Huskilson's Funeral Home Ltd., Lockeport, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 16, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis and Myocardial Infarction
(b) Coronary Atherosclerosis
(c)
other
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