Male Death Registration: Year: 1970 number: 1757
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001757
1. PLACE OF DEATH County of Halifax If in City or Town Middle Musquodobit
If death occured in a hospital or institution Musquodoboit Valley Memorial Hospital
3. PRINT NAME OF DECEASED McCoul, John James
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 17, 1895
10. AGE in Years74 Months6 Days6 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Charlotte
16. NAME of Father John McCoul
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Julia Bentley
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. J. J. McCoul
address Upper Stewiacke
Relationship to deceased Wife
21. Place of burial Eastville
Date of burial Jan 25, 1970
22. Undertaker Mattatall Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 23, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Pulmonary Embolism
(c) Pulmonary Edema
other Arteriosclerosis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487071
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