Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Douglas Allen Cameron death at Pugwash, Cumberland County on February 22, 1970
Male Death Registration: Year: 1970 number: 2134
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002134
1. PLACE OF DEATH County of Cumberland If in City or Town Pugwash
If death occured in a hospital or institution North Cumberland Memorial Hospital
3. PRINT NAME OF DECEASED Cameron, Douglas Allen
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French & Scotch
7. Single, Married
single
8. BIRTHPLACE Truro
9. DATE OF BIRTH 2 10, 1942
10. AGE in Years28 Months0 Days12 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked February 19, 1970 14. Total years
15. If married name of spouse
16. NAME of Father Russell Cameron
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jean Muree
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Russell Cameron
address Port Howe
Relationship to deceased Father
21. Place of burial Port Howe
Date of burial February 25, 1970
22. Undertaker W.I. Mundle, Pugwash
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 22, 1970
CAUSE OF DEATH
(a) fractured skull & brain laceration
(b)
(c)
other
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