Male Death Registration: Year: 1970 number: 3301
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003301
1. PLACE OF DEATH County of Guysborough If in City or Town Canso
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Horne, Charles Godfrey
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Dover
9. DATE OF BIRTH 6 16, 1896
10. AGE in Years73 Months10 Days26 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry Fishing
13. Date last worked 20 years ago 14. Total years 45
15. If married name of spouse Lila (Myers) Horne deceased
16. NAME of Father William Henry Horne
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Amelia David
19. BIRTHPLACE Port Felix
20. Signature of Informant Clarence Horne
address Canso
Relationship to deceased Son
21. Place of burial Canso
Date of burial May 15, 1970
22. Undertaker Nathan Rynold, Phillips Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 12, 1970
CAUSE OF DEATH
(a) Myocardial Ischemia
(b) Hypertension
(c) Chronic Myocardial Ischemia
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488611
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