Male Death Registration: Year: 1970 number: 1403
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001403
1. PLACE OF DEATH County of Victoria If in City or Town Goose Cove
If death occured in a hospital or institution Meadow Road, Goose Cove
3. PRINT NAME OF DECEASED Matheson, Archibald
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Goose Cove
9. DATE OF BIRTH 11 20, 1878
10. AGE in Years91 Months2 Days3 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry Carpentering
13. Date last worked 1950 14. Total years 50
15. If married name of spouse Christine Morrison
16. NAME of Father Hector Matheson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Euphemia
19. BIRTHPLACE Nova Scotia
20. Signature of Informant C.P. Scott
address 125 Thompson Ave., Sydney River
Relationship to deceased Foster son
21. Place of burial Goose Cove Cemetery, Goose Cove
Date of burial January 26, 1970
22. Undertaker Fillmore and Whitman Funeral Home Ltd., Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 23, 1970
CAUSE OF DEATH
(a) Pneumonia
(b) Atherosclerosis
(c) Coronary artery disease
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486717
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