Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Albert Eugene Churchill death at Halifax, Halifax County on November 10, 1971
Male Death Registration: Year: 1971 number: 6680
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006680
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 Churchill, Albert Eugene
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Short Beach Yar. County Nova Scotia
9. DATE OF BIRTH 8 13, 1887
10. AGE in Years84 Months2 Days28 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Tax Collector
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Amos Churchill
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Laura Eldridge
19. BIRTHPLACE Nova Scotia
20. Signature of Informant C.W. Churchill
address Lakeside Drive, Yarmouth
Relationship to deceased Nephew
21. Place of burial Darling Lake, Yar Co.
Date of burial November 13, 1971
22. Undertaker Sweenys Funeral Home, Yar
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 10, 1971
CAUSE OF DEATH
(a) Myocardial Infarct
(b)
(c)
other Rhabdomyoscarcoma L arm
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