Male Death Registration: Year: 1970 number: 1115
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001115
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Lopes, Matthew Marcus
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
married
8. BIRTHPLACE St. Vincent, Cape De Verde Islands
9. DATE OF BIRTH 9 21, 1896
10. AGE in Years73 Months3 Days20 | hrs or mins
11. Trade or profession Retired Porter
12. Kind of industry C. N. R.
13. Date last worked 1961 14. Total years 8
15. If married name of spouse Mary Lopes
16. NAME of Father Marcus Lopes
17. BIRTHPLACE Cape Verde Islands
18. NAME of Mother Francisca Motta
19. BIRTHPLACE Cape Verde Islands
20. Signature of Informant Calvin E. Lopes
address Three Mile Plains, Hants Co.
Relationship to deceased Son
21. Place of burial Fairview Cemetery, Halifax
Date of burial Jan 14, 1970
22. Undertaker Cruikshank Funeral Home, Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 10, 1970
CAUSE OF DEATH
(a) Acute myocardial infarction
(b)
(c) Arteriosclerosis
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486429
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