Male Death Registration: Year: 1971 number: 7478
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007478
1. PLACE OF DEATH County of Annapolis If in City or Town Bridgetown
If death occured in a hospital or institution Mountain Lea Lodge
3. PRINT NAME OF DECEASED Bohaker, Ernest Walter
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Granville Ferry
9. DATE OF BIRTH 7 14, 1877
10. AGE in Years94 Months5 Days7 | hrs or mins
11. Trade or profession Mill Wright
12. Kind of industry
13. Date last worked 14. Total years 45
15. If married name of spouse Mrs. Lila Bohaker
16. NAME of Father Wallace Bohaker
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Robinson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Helen Chisholm
address Granville Ferry
Relationship to deceased Daughter
21. Place of burial Stoney Beach Cemtery
Date of burial December 23 1971
22. Undertaker B.D. Hatfield Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 21, 1971
CAUSE OF DEATH
(a) Cardiac occulsion complete heart block
(b)
(c)
other Fractured left hip
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499550
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