Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jeremiah Green death at Glace Bay, Cape Breton County on February 28, 1970
Male Death Registration: Year: 1970 number: 1985
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001985
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution General Hospital
3. PRINT NAME OF DECEASED Green, Jeremiah
4. Sex
Male
5. Citizenship
English
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE England
9. DATE OF BIRTH 9 18, 1882
10. AGE in Years87 Months5 Days10 | hrs or mins
11. Trade or profession Coal miner (retired)
12. Kind of industry Dom. Coal Co. (Dominion Coal Co.)
13. Date last worked 1947 14. Total years 52
15. If married name of spouse (not recorded)
16. NAME of Father Jefferson Green
17. BIRTHPLACE England
18. NAME of Mother Margaret Denison
19. BIRTHPLACE England
20. Signature of Informant Jerry Green
address RR #1, Glace Bay
Relationship to deceased Son
21. Place of burial Port Caledonia
Date of burial March 3, 1970
22. Undertaker Patten's Funeral Home, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 28, 1970
CAUSE OF DEATH
(a) Uremia
(b) Hypertrophy of prostate
(c)
other
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