Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Robert Harlow death at Dartmouth, Halifax County on November 21, 1971
Male Death Registration: Year: 1971 number: 6937
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006937
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
If death occured in a hospital or institution Nova Scotia Hospital
3. PRINT NAME OF DECEASED Harlow, John Robert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Canadian
7. Single, Married
married
8. BIRTHPLACE Sable River, Shelburne County
9. DATE OF BIRTH 1 13, 1893
10. AGE in Years78 Months10 Days8 | hrs or mins
11. Trade or profession Retired Millwright
12. Kind of industry Bowater Mersey Paper Co.
13. Date last worked 1958 14. Total years
15. If married name of spouse Hattie L. Harlow
16. NAME of Father Ferguson Harlow
17. BIRTHPLACE NS
18. NAME of Mother Hattie McKenna
19. BIRTHPLACE NS
20. Signature of Informant Medical Records & Mrs. H. L. Harlow
address Nova Scotia Hospital
Relationship to deceased Hospital & Wife
21. Place of burial Liverpool, Queens Co., NS
Date of burial 24 November 1971
22. Undertaker Mattatall Funeral Home, Dartmouth, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 21, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b)
(c)
other
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