Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Samuel Howard Edison Cooke death at Isaacs Harbour, Guysborough County on April 3, 1970
Male Death Registration: Year: 1970 number: 2616
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002616
1. PLACE OF DEATH County of Guysborough If in City or Town Isaacs Harbour
3. PRINT NAME OF DECEASED Cooke, Samuel Howard Edison
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 6, 1907
10. AGE in Years62 Months10 Days27 | hrs or mins
11. Trade or profession Laborer
12. Kind of industry
13. Date last worked 1960 14. Total years
15. If married name of spouse Bertha Cooke,
16. NAME of Father Samuel Bruce Cooke
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Alice Marie
19. BIRTHPLACE Nova Scotia
20. Signature of Informant
address
Relationship to deceased Sister in Law
21. Place of burial
Date of burial April 6 , 1970
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 3, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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