Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Luke Ferdinand Pelrine death at Antigonish, Antigonish County on March 22, 1970
Male Death Registration: Year: 1970 number: 2716
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002716
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED Pelrine, Luke Ferdinand
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Port Felix
9. DATE OF BIRTH 6 6, 1892
10. AGE in Years77 Months9 Days16 | hrs or mins
11. Trade or profession Carpenter, Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Mrs. Luke Pelrine
16. NAME of Father Vincent Pelrine
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Margaret Bellfontaine
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Ambrose Farrell
address South River Road, Antigonish
Relationship to deceased Daughter
21. Place of burial St. Peter's Parish Cemetery, Tracadie
Date of burial March 26th, 1970
22. Undertaker Curry's Funeral Home, Antigonish
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 22, 1970
CAUSE OF DEATH
(a) (a) Pulmonary Embolism
(b) (b) Congestive Heart Failure
(c) (c) Coronary Artery Disease
other Acute Cholecystis Diabetes
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