Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Erwin Ellsworth Randall death at Annapolis Royal, Annapolis County on December 25, 1971
Male Death Registration: Year: 1971 number: 7481
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007481
1. PLACE OF DEATH County of Annapolis If in City or Town Annapolis Royal
If death occured in a hospital or institution Annapolis Royal Nursing Home
3. PRINT NAME OF DECEASED Randall, Erwin Ellsworth
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Clementsport
9. DATE OF BIRTH 10 17, 1872
10. AGE in Years99 Months2 Days8 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Carpenter
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father George Randell
17. BIRTHPLACE Clementsport
18. NAME of Mother Mary Robblee
19. BIRTHPLACE Lower Granville
20. Signature of Informant Helen M. DeNoose
address 116 Walter St. Roslindale, Massachusetts, USA
Relationship to deceased Daughter
21. Place of burial Harris Cemetery, Dugway Road
Date of burial December 28, 1971
22. Undertaker Charles Dargie and Son Ltd. Annapolis Royal
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 25, 1971
CAUSE OF DEATH
(a) Uraemia
(b) Renal shut down
(c)
other
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