Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
James Arthur Polley death at Amherst, Cumberland County on November 29, 1971
Male Death Registration: Year: 1971 number: 6924
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006924
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Polley, James Arthur
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
7. Single, Married
married
8. BIRTHPLACE Tyndle Road, Cumberland County
9. DATE OF BIRTH 2 7, 1907
10. AGE in Years64 Months9 Days22 | hrs or mins
11. Trade or profession Mechanic
12. Kind of industry Enamel & Heating Co. Ltd.
13. Date last worked 1970 14. Total years 27 years
15. If married name of spouse Mrs. Ferrol Polley
16. NAME of Father Harvey Polley
17. BIRTHPLACE Cumberland Co., NS
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Douglas R. Polley
address 7 Fairview Avenue, Amherst, Cumberland Co., NS
Relationship to deceased Son
21. Place of burial Amherst Cemetery, Amherst, Cumberland Co., NS
Date of burial 1 December 1971
22. Undertaker Furlong's Funeral Home Ltd., Amherst, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 29, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Coronary Artery Disease
(c)
other Chronic Obstructive Lung Disease
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