Male Death Registration: Year: 1971 number: 6251
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006251
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Ripley, Douglas Arnold
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Brookdale
9. DATE OF BIRTH 12 10, 1895
10. AGE in Years75 Months10 Days17 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry Farming
13. Date last worked 20 year ago 14. Total years Life
15. If married name of spouse Janie A. Smith
16. NAME of Father Herbert Ripley
17. BIRTHPLACE Cumberland County
18. NAME of Mother Theresa Read
19. BIRTHPLACE Cumberland County
20. Signature of Informant Ivan B. Ripley
address Amherst
Relationship to deceased Son
21. Place of burial Amherst
Date of burial October 30, 1971
22. Undertaker Furlong's Funeral Home Ltd. Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 27, 1971
CAUSE OF DEATH
(a) Uremia
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498324
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