Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Terrence Roger Nickerson death at South Alton, Kings County on October 13, 1971
Male Death Registration: Year: 1971 number: 7723
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007723
1. PLACE OF DEATH County of Kings If in City or Town South Alton
3. PRINT NAME OF DECEASED Nickerson, Terrence Roger
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
8. BIRTHPLACE Kentville
9. DATE OF BIRTH 7 8, 1921
10. AGE in Years Months3 Days5 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Conrad Nickerson
17. BIRTHPLACE Cape Sable ISland
18. NAME of Mother Anna Medicraft
19. BIRTHPLACE South Alton
20. Signature of Informant Conrad Nickerson
address South Alton
Relationship to deceased Father
21. Place of burial Elm Grove Cemetery, Kentville
Date of burial October 15, 1971
22. Undertaker W.C. Hiltz Funeral Home, Kentville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 13, 1971
CAUSE OF DEATH
(a) Brought in dead to the hospital
(b)
(c)
other
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