Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Richard Arthur Nickerson death at Yarmouth, Yarmouth County on November 8, 1971
Male Death Registration: Year: 1971 number: 6512
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006512
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Regional Hospital
3. PRINT NAME OF DECEASED Nickerson, Richard Arthur
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 27, 1915
10. AGE in Years56 Months0 Days12 | hrs or mins
11. Trade or profession Shipper
12. Kind of industry Swifts Packing Co.
13. Date last worked 1967 14. Total years 19 years
15. If married name of spouse Freda Nickerson
16. NAME of Father Elmer Nickerson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Grace Nickerson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Freda Nickerson
address Stoney Island
Relationship to deceased Wife
21. Place of burial Stoney Island
Date of burial November 11, 1971
22. Undertaker Kenney Funeral Service
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 8, 1971
CAUSE OF DEATH
(a) Acute Myocardial infarction
(b)
(c)
other
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