Male Death Registration: Year: 1971 number: 6759
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006759
1. PLACE OF DEATH County of Cumberland If in City or Town Advocate Harbour
If death occured in a hospital or institution Bayview Memorial Hospital
3. PRINT NAME OF DECEASED Field, Cleveland Horace
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Apple, River
9. DATE OF BIRTH 5 10, 1909
10. AGE in Years62 Months6 Days9 | hrs or mins
11. Trade or profession
12. Kind of industry Farming & Lumbering
13. Date last worked 1966 14. Total years 35
15. If married name of spouse Bernice (LeBlanc) Field
16. NAME of Father James Field
17. BIRTHPLACE NS
18. NAME of Mother Lila McDougall
19. BIRTHPLACE NS
20. Signature of Informant Mrs. Bernice Field
address Apple River, NS
Relationship to deceased Wife
21. Place of burial Apple River, NS
Date of burial November 22 1971
22. Undertaker S W Smith & Son Ltd, Parrsboro, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 19, 1971
CAUSE OF DEATH
(a) Arteriosclerosis
(b) Chronic Nephritis
(c) Cerebral Haemmorage
other Diabetes
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498832
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