Male Death Registration: Year: 1970 number: 2722
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002722
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 Shaw, John Wallace
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Glace Bay
9. DATE OF BIRTH 5 6, 1915
10. AGE in Years54 Months9 Days5 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 1969 14. Total years 32.
15. If married name of spouse
16. NAME of Father John Shaw
17. BIRTHPLACE Main-a-Dieu
18. NAME of Mother Margaret A Burke.
19. BIRTHPLACE Main-a-Dieu
20. Signature of Informant
address 11 Rockdale Ave Glace Bay
Relationship to deceased Brother
21. Place of burial St Anne Cem Glace Bay
Date of burial Feb 14 1970
22. Undertaker Curry's Funeral Home Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 11, 1970
CAUSE OF DEATH
(a) Coronary Heart Disease
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488034
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