Male Death Registration: Year: 1971 number: 6644
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006644
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital
3. PRINT NAME OF DECEASED White, Percy Mosher
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 12 7, 1897
10. AGE in Years73 Months11 Days9 | hrs or mins
11. Trade or profession Clerk & bartender
12. Kind of industry
13. Date last worked 1965 14. Total years 35 yrs
15. If married name of spouse Sadie (Gourley) White
16. NAME of Father Jacob White
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary McPhee
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Sadie White
address 106 Stannus Street Windsor, N. S.
Relationship to deceased wife
21. Place of burial Maplewood Cem, Windsor, N. S.
Date of burial November 18th 1971
22. Undertaker Lohnes Funeral Service Ltd. Windsor, N. S.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 16, 1971
CAUSE OF DEATH
(a) coronary artery occlusion
(b) long history of heart attacks
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498717
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