Male Death Registration: Year: 1970 number: 2474
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002474
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution St. Joseph's Hospital
3. PRINT NAME OF DECEASED Penny, Gerald Francis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 5, 1957
10. AGE in Years12 Months10 Days20 | hrs or mins
11. Trade or profession Student
12. Kind of industry At school
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father John Francis Penny
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Florence May Campbell
19. BIRTHPLACE Nova Scotia
20. Signature of Informant John F. Penny
address 142 Eleventh Street, Glace Bay
Relationship to deceased Father
21. Place of burial St. John's Cemetery, Glace Bay
Date of burial March 28, 1970
22. Undertaker Curry's Funeral Home, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 25, 1970
CAUSE OF DEATH
(a) (illegible) - note states death was due to an accident, struck by car
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487787
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