Male Death Registration: Year: 1970 number: 3610
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003610
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 Long, William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 13, 1916
10. AGE in Years54 Months1 Days18 | hrs or mins
11. Trade or profession Mechanic
12. Kind of industry
13. Date last worked May 30, 1970 14. Total years 20
15. If married name of spouse Annie Mae Long
16. NAME of Father Thomas Long
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Elizabeth Jessome
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Annie Mae Long
address Bras D'Or
Relationship to deceased wife
21. Place of burial St. Joseph's, Bras D'Or
Date of burial June 3, 1970
22. Undertaker George R. Francis, Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 31, 1970
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488920
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