Male Death Registration: Year: 1970 number: 3609
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003609
1. PLACE OF DEATH County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution St. Elizabeth Hospital
3. PRINT NAME OF DECEASED Shepherd, John William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 8 24, 1892
10. AGE in Years77 Months9 Days5 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry Fishing
13. Date last worked 1958 14. Total years 45
15. If married name of spouse Mary Best
16. NAME of Father William Shepherd
17. BIRTHPLACE Newfoundland
18. NAME of Mother Harriet Buffett
19. BIRTHPLACE Newfoundland
20. Signature of Informant Joseph Shepherd
address 12 Young St. Ext., North Sydney
Relationship to deceased Son
21. Place of burial Lakeside Cemetery, North Sydney
Date of burial May 31, 1970
22. Undertaker Fillmore and Whitman Funeral Home, North Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 29, 1970
CAUSE OF DEATH
(a) Myocardial infarction
(b) ASHD
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488919
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