Male Death Registration: Year: 1970 number: 3611
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003611
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 Campbell, Alexander James
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 21, 1891
10. AGE in Years78 Months8 Days10 | hrs or mins
11. Trade or profession Merchant
12. Kind of industry Grocery store
13. Date last worked 1968 14. Total years 50
15. If married name of spouse
16. NAME of Father Alexander James Campbell
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Henrietta Rudderham
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Emerson Campbell
address 42 Richmont St., Sydney
Relationship to deceased Brother
21. Place of burial Lakeside Cemetery, North Sydney
Date of burial June 4, 1970
22. Undertaker Fillmore and Whitman Funeral Home Ltd., North Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 1, 1970
CAUSE OF DEATH
(a) Congestive failure
(b) Leukemia
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=488921
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