Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Colleen Annette Cook death at Sydney, Cape Breton County on May 15, 1970
Female Death Registration: Year: 1970 number: 3463
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003463
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution enroute to hospital
3. PRINT NAME OF DECEASED Cook, Colleen Annette
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 12 5, 1969
10. AGE in Years Months5 Days10 | hrs or mins
11. Trade or profession Not Applicable
12. Kind of industry Not Applicable
13. Date last worked 14. Total years Not Applicable
15. If married name of spouse Not Applicable
16. NAME of Father Albert Lewis Cook
17. BIRTHPLACE Sydney
18. NAME of Mother Ann Gracie
19. BIRTHPLACE Point Micheau
20. Signature of Informant Albert Cook
address Point Micheau
Relationship to deceased Father
21. Place of burial L'Ardoise Roman Catholic Cemetery
Date of burial May 17 1970
22. Undertaker Alex A Morrrison, St Peters
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 15, 1970
CAUSE OF DEATH
(a) Acute fulminated ?
(b) Neo
(c)
other
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