Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Worthen Sardell Perry death at Sandy Point, Shelburne County on December 23, 1971
Male Death Registration: Year: 1971 number: 7605
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007605
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital, Sandy Point, Shelburne
3. PRINT NAME OF DECEASED Perry, Worthen Sardell
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 24, 1889
10. AGE in Years82 Months1 Days27 | hrs or mins
11. Trade or profession Fish Cutter
12. Kind of industry Fish Plant
13. Date last worked 1955 14. Total years 47
15. If married name of spouse
16. NAME of Father George William Perry
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Martha
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mavie McKenney
address Roseway, Shelburne Co.
Relationship to deceased Niece
21. Place of burial Ingomar, Nova Scotia
Date of burial 27 December 1971
22. Undertaker Kenney Funeral Service, Barrington, Shelburne Co.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 23, 1971
CAUSE OF DEATH
(a) Cancer of rectum
(b) Widespread metastases
(c)
other
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