Male Death Registration: Year: 1970 number: 2720
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002720
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution General Hospital
3. PRINT NAME OF DECEASED Hodder, Walter
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Polish
7. Single, Married
married
8. BIRTHPLACE Poland
9. DATE OF BIRTH 6 21, 1909
10. AGE in Years60 Months7 Days12 | hrs or mins
11. Trade or profession Coal Miner
12. Kind of industry Devco
13. Date last worked 1969 14. Total years 40
15. If married name of spouse Mrs. Walter Hodder
16. NAME of Father Frank Hodder
17. BIRTHPLACE Poland
18. NAME of Mother Frances Krouse
19. BIRTHPLACE Poland
20. Signature of Informant Robert Hodder
address 171 Wallbro Rd., Glace Bay(?)
Relationship to deceased Son
21. Place of burial Forest Haven Memorial Park, Grand Lake Road
Date of burial February 5, 1970
22. Undertaker Curry's Funeral Home, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 2, 1970
CAUSE OF DEATH
(a) Myocardial infarction
(b) Coronary pulmonale
(c) Pulmonary insufficiency
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488032
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