Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Leslie Pelerine death at New Glasgow, Pictou County on January 10, 1970
Male Death Registration: Year: 1970 number: 1522
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001522
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hospital
3. PRINT NAME OF DECEASED Pelerine, Charles Leslie
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE New Glasgow
9. DATE OF BIRTH 12 10, 1969
10. AGE in Years Months1 Days | hrs or mins
11. Trade or profession Baby
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father George Barnett
17. BIRTHPLACE New Glasgow
18. NAME of Mother Magdalene Anna Pelerine
19. BIRTHPLACE New Glasgow
20. Signature of Informant George W. Barnett
address Munroe St., Trenton
Relationship to deceased Father
21. Place of burial Hillside Trenton
Date of burial Jan. 12, 1970
22. Undertaker Ross Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 10, 1970
CAUSE OF DEATH
(a) Ac. Pulmonary Edema
(b) Preterm
(c)
other
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