Male Death Registration: Year: 1971 number: 7258
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007258
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Elliott, James Frank
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Chicago, Illinois, USA
9. DATE OF BIRTH 8 19, 1895
10. AGE in Years76 Months3 Days26 | hrs or mins
11. Trade or profession Butcher
12. Kind of industry
13. Date last worked September 1961 14. Total years 49 years
15. If married name of spouse Myrtle Elliott
16. NAME of Father James Elliott
17. BIRTHPLACE USA
18. NAME of Mother Lilian May Tulford
19. BIRTHPLACE USA
20. Signature of Informant Donald Cunningham
address Camp Hill Hospital
Relationship to deceased
21. Place of burial Fort Massey Cemetery, Halifax, NS
Date of burial 17 December 1971
22. Undertaker Cruikshanks Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 15, 1971
CAUSE OF DEATH
(a) Cerebrovascular Accident
(b) Cerebral Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499330
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