Male Death Registration: Year: 1970 number: 2476
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002476
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney Engineering & Drydock Co.
3. PRINT NAME OF DECEASED White, Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 23, 1916
10. AGE in Years53 Months6 Days3 | hrs or mins
11. Trade or profession Truck Driver
12. Kind of industry Sydney Engineering & Drydock Co.
13. Date last worked March 26, 1970 14. Total years 30
15. If married name of spouse
16. NAME of Father Charles White
17. BIRTHPLACE Newfoundland
18. NAME of Mother Jessie Moore
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Clayton White
address 140 Stanley Street, North Sydney
Relationship to deceased Brother
21. Place of burial Lakeside Cemetery, North Sydney
Date of burial March 30, 1970
22. Undertaker W. J. Dooley Funeral Service Ltd., North Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 26, 1970
CAUSE OF DEATH
(a) Coronary infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487789
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