Male Death Registration: Year: 1970 number: 2139
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002139
1. PLACE OF DEATH County of Cumberland If in City or Town Springhill
3. PRINT NAME OF DECEASED Pepperdine, Charles Robert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 2 19, 1906
10. AGE in Years64 Months0 Days17 | hrs or mins
11. Trade or profession Mechanic until 1958.
12. Kind of industry Coal Mining
13. Date last worked 1958 14. Total years 29
15. If married name of spouse Evelyn Francella Pepperdine
16. NAME of Father George Pepperdine
17. BIRTHPLACE New Brunswick
18. NAME of Mother Rose Brown
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Charles Pepperdine
address 14 Glengarry Drive, St. John, New Brunswick
Relationship to deceased Son.
21. Place of burial Springhill,
Date of burial March 11 - 1970
22. Undertaker A.H. Brown Funeral Service Ltd., Springhill
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 8, 1970
CAUSE OF DEATH
(a) Coronary Artery Disease
(b)
(c)
other Acute Bronchitis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487452
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