Male Death Registration: Year: 1970 number: 1238
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001238
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution Colchester County Hospital
3. PRINT NAME OF DECEASED Pictou, John Benjamin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Mi'kmaq
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 10, 1990
10. AGE in Years69 Months5 Days29 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 1960 14. Total years Life
15. If married name of spouse deceased
16. NAME of Father Paul Pictou
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Agnes Goo Goo
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Nancy Christoff
address Mic Mac
Relationship to deceased Brother
21. Place of burial Mic Mac
Date of burial 12 Jan 1970
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 9, 1970
CAUSE OF DEATH
(a) Chronic Obstructive Respiratory Disease
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486552
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