Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Percival Clifford Woodworth death at Coldbrook, Kings County on May 2, 1970
Male Death Registration: Year: 1970 number: 3320
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003320
1. PLACE OF DEATH County of Kings If in City or Town Coldbrook
If death occured in a hospital or institution Lovett Rd
3. PRINT NAME OF DECEASED Woodworth, Percival Clifford
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Port Williams
9. DATE OF BIRTH 12 8, 1908
10. AGE in Years61 Months4 Days24 | hrs or mins
11. Trade or profession Mechanic
12. Kind of industry
13. Date last worked 1970 14. Total years
15. If married name of spouse Verna Mitchell
16. NAME of Father Clifford C Woodworth
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Eugenia Lovelace
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Gerald Woodworth
address RR#2 Kentville
Relationship to deceased son
21. Place of burial Coldbrook
Date of burial May 4, 1970
22. Undertaker H C Lindsay Funeral Homes Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 2, 1970
CAUSE OF DEATH
(a) Acute Myocardial infarction
(b)
(c)
other
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