Male Death Registration: Year: 1971 number: 7506
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007506
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital
3. PRINT NAME OF DECEASED Phillips, Maurice
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Margaree
9. DATE OF BIRTH 4 1, 1894
10. AGE in Years77 Months8 Days16 | hrs or mins
11. Trade or profession Grocery Store
12. Kind of industry
13. Date last worked December 10, 1971 14. Total years
15. If married name of spouse Jimina MacKenzie Phillips
16. NAME of Father Fred Phillips
17. BIRTHPLACE Margaree
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Fred Phillips
address 627 George St. Sydney
Relationship to deceased Son
21. Place of burial Forest Haven Memorial, Sydney
Date of burial December 20, 1971
22. Undertaker R.H. Fillmore Funeral Home Ltd. Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 17, 1971
CAUSE OF DEATH
(a) Arterioscleratic Heart Disease
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499578
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