Male Death Registration: Year: 1970 number: 2450
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002450
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution City Hospital
3. PRINT NAME OF DECEASED Rasmussen, Axel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Danish
7. Single, Married
married
8. BIRTHPLACE Denmark
9. DATE OF BIRTH 3 3, 1883
10. AGE in Years86 Months11 Days19 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry Chappell's Ltd.
13. Date last worked 21 14. Total years
15. If married name of spouse Ida Laura Lewis
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Per: Mrs. Elizabeth Harvey
address 36 St. Bridget St., Sydney
Relationship to deceased Niece
21. Place of burial Hardwood Hill Cemetery Sydney.
Date of burial Feb. 24, 1970
22. Undertaker R.H. Fillmore Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 22, 1970
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Pulmonary Edema
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487763
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