Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Nickerson death at Sandy Point, Shelburne County on November 23, 1971
Male Death Registration: Year: 1971 number: 7104
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007104
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital
3. PRINT NAME OF DECEASED Nickerson, Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 2 15, 1882
10. AGE in Years89 Months9 Days8 | hrs or mins
11. Trade or profession Fish Merchant
12. Kind of industry
13. Date last worked 1947 14. Total years 47 years
15. If married name of spouse Selina Nickerson
16. NAME of Father Seth Nickerson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jane Nickerson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Catherine Nickerson
address Barrington Passage, Shelburne Co., NS
Relationship to deceased Daughter in Law
21. Place of burial West Head, Shelburne Co., NS
Date of burial 26 November 1971
22. Undertaker Kenney Funeral Service, Barrington, Shelburne Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 23, 1971
CAUSE OF DEATH
(a) Cerebral Hemorrhage
(b) Hypertension
(c) Arteriosclerosis
other
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