Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Arthur William Scott death at Halifax, Halifax County on October 13, 1971
Male Death Registration: Year: 1971 number: 6163
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006163
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Scott, Arthur William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Toronto, Ontario
9. DATE OF BIRTH 3 29, 1938
10. AGE in Years33 Months6 Days14 | hrs or mins
11. Trade or profession Estimator
12. Kind of industry S. Sorensen Painters
13. Date last worked 15 September 1971 14. Total years 3 years
15. If married name of spouse
16. NAME of Father Arthur B. Scott
17. BIRTHPLACE Ontario
18. NAME of Mother Dorothy Jackson
19. BIRTHPLACE Ontario
20. Signature of Informant Margaret
address Keating
Relationship to deceased 4 Frederick Avenue, Apt 44, Halifax, NS
21. Place of burial Mabou, Inverness Co., NS
Date of burial 16 October 1971
22. Undertaker Halifax Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 13, 1971
CAUSE OF DEATH
(a) Chronic Granulocytic Leukemia transferred to Acute Leukemia
(b) Intracranial Hemorrhage
(c)
other
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