Male Death Registration: Year: 1970 number: 2230
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002230
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
3. PRINT NAME OF DECEASED Peterson, Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Swedish
7. Single, Married
single
8. BIRTHPLACE Montreal, Quebec
9. DATE OF BIRTH 5 15, 1895
10. AGE in Years74 Months9 Days4 | hrs or mins
11. Trade or profession Steelworker
12. Kind of industry
13. Date last worked 30 ago 14. Total years
15. If married name of spouse
16. NAME of Father Charles Peterson
17. BIRTHPLACE Sweden
18. NAME of Mother Agnes Young
19. BIRTHPLACE South Bar
20. Signature of Informant Per: James Peterson
address RR#1 Lingan Rd., Sydney
Relationship to deceased Brother
21. Place of burial Calvary Cemetery Sydney
Date of burial Feb . 21, 1970
22. Undertaker R.H. Fillmore Funeral Home Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 19, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487543
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