Male Death Registration: Year: 1971 number: 6173
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006173
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Rix, James Frederick
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Miminegash, Prince Edward Island
9. DATE OF BIRTH 10 10, 1942
10. AGE in Years29 Months Days12 | hrs or mins
11. Trade or profession Mechanic
12. Kind of industry Stone Crusher
13. Date last worked 1971 14. Total years 3
15. If married name of spouse Marjorie Rix
16. NAME of Father Bertram Rix
17. BIRTHPLACE Prince Edward Island
18. NAME of Mother Barbara Matthews
19. BIRTHPLACE Prince Edward Island
20. Signature of Informant Marjorie Rix
address Miminegash, Prince Edward Island
Relationship to deceased Wife
21. Place of burial Miminegash, Prince Edward Island
Date of burial 24 October 1971
22. Undertaker Rooney Funeral Services Limited, Summerside, Prince Edward Island
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 22, 1971
CAUSE OF DEATH
(a) Bilateral Pneumonia
(b) Chest Injury [caught on conveyor belt]
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498246
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