Male Death Registration: Year: 1971 number: 7122
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007122
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
3. PRINT NAME OF DECEASED Pierce, Frederick Harold
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 12 27, 1900
10. AGE in Years70 Months11 Days12 | hrs or mins
11. Trade or profession Longshoreman
12. Kind of industry Eastern Canada Stevedoring
13. Date last worked Dec 1, 1971 14. Total years 40
15. If married name of spouse Rosannah Pierce
16. NAME of Father John M. Pierce
17. BIRTHPLACE Halifax
18. NAME of Mother Jane Dunn
19. BIRTHPLACE Halifax
20. Signature of Informant Mrs. Ethel M. Roberge FMC
address 7055 Mumford Rd. Halifax
Relationship to deceased Daughter
21. Place of burial Gate of Heaven Cemetery, Lr. Sackville
Date of burial December 11, 1971
22. Undertaker Halifax Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 9, 1971
CAUSE OF DEATH
(a) Gangrene of Bowel
(b) Mesenteric artery Thrombosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499194
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