Male Death Registration: Year: 1970 number: 2455
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002455
1. PLACE OF DEATH County of Cape Breton If in City or Town Westmount
If death occured in a hospital or institution 17 Fulton Ave., Westmount
3. PRINT NAME OF DECEASED Campbell, Avery
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Windsor
9. DATE OF BIRTH 3 31, 1900
10. AGE in Years69 Months11 Days7 | hrs or mins
11. Trade or profession Foreman Electrician
12. Kind of industry Steel Plant
13. Date last worked 1967 14. Total years
15. If married name of spouse Florence Huett Campbell
16. NAME of Father John James Campbell
17. BIRTHPLACE Musquodoboit
18. NAME of Mother Rose Warr
19. BIRTHPLACE Windsor
20. Signature of Informant Mrs. Florence Campbell
address 17 Fulton Ave., Westmount
Relationship to deceased Wife
21. Place of burial Forest Haven Cemetery, Sydney-Glace Bay Highway
Date of burial March 10, 1970
22. Undertaker R. H. Fillmore Funeral Home Ltd., Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 7, 1970
CAUSE OF DEATH
(a) Coronary thrombosis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487768
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