Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Harris Theodore Pelton death at Berwick, Kings County on November 7, 1971
Male Death Registration: Year: 1971 number: 6787
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006787
1. PLACE OF DEATH County of Kings If in City or Town Berwick
If death occured in a hospital or institution Western Kings Memorial Hospital
3. PRINT NAME OF DECEASED Pelton, Harris Theodore
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 13, 1923
10. AGE in Years48 Months5 Days25 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Pauline Pelton (Trahon)
16. NAME of Father Fred Pelton
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Bertha Bent
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Pauline Pelton
address RR 1, Waterville
Relationship to deceased Wife
21. Place of burial Berwick Cemetery
Date of burial November 10 1971
22. Undertaker H C Lindsay, Berwick
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 7, 1971
CAUSE OF DEATH
(a) Intestinal Obstruction
(b) Carcinoma of pancreas
(c)
other
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