Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Joseph Perce McCullough death at Halifax, Halifax County on November 30, 1971
Male Death Registration: Year: 1971 number: 6863
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006863
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED McCullough, Joseph Perce
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE St. John, New Brunswick
9. DATE OF BIRTH 9 11, 1899
10. AGE in Years72 Months2 Days19 | hrs or mins
11. Trade or profession Sign Painter
12. Kind of industry Self Employed
13. Date last worked October 1971 14. Total years 25 years
15. If married name of spouse Rita Lombard
16. NAME of Father Thomas McCullough
17. BIRTHPLACE New Brunswick
18. NAME of Mother Jeanette Nichol
19. BIRTHPLACE New Brunswick
20. Signature of Informant Miss. Pauline McCullough
address Connaught Avenue, Halifax, NS
Relationship to deceased Daughter
21. Place of burial Gate of Heaven Cemetery, Lower Sackville, NS
Date of burial 2 December 1971
22. Undertaker Halifax Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 30, 1971
CAUSE OF DEATH
(a) Congestive Heart Failure
(b) Nephrotic Syndrome
(c) Anemia & Weight Loss
other Chronic Obstructive Lung Disease
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