Male Death Registration: Year: 1971 number: 6325
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006325
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED Fraser, James
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 24, 1917
10. AGE in Years54 Months3 Days7 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry Farming
13. Date last worked Retired 14. Total years life
15. If married name of spouse Mrs. James Fraser
16. NAME of Father William J. Fraser
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Minnie Livingstone
19. BIRTHPLACE Massachusetts, USA
20. Signature of Informant William A. Fraser
address Brierly Brook, Antigonish Co., NS
Relationship to deceased Son
21. Place of burial Antigonish, NS
Date of burial 3 November 1971
22. Undertaker MacIsaac Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 31, 1971
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b) Thromboangiitis Obliterans
(c)
other Gangrene of Right Thigh (stump)
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498398
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