Male Death Registration: Year: 1970 number: 3702
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003702
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital
3. PRINT NAME OF DECEASED Brewer, Samuel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Ingonish
9. DATE OF BIRTH 10 2, 1900
10. AGE in Years69 Months8 Days | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry Lake Boats
13. Date last worked 10 14. Total years
15. If married name of spouse Florence
16. NAME of Father Samuel Brewer
17. BIRTHPLACE Cape Breton
18. NAME of Mother Mary Curtis
19. BIRTHPLACE Cape Breton
20. Signature of Informant Mrs Mary Hearn
address 34 Lingan Road,, Sydney
Relationship to deceased Daughter
21. Place of burial Calvary Cemetery, Sydney
Date of burial June 4, 1970
22. Undertaker T. W . Curry Limited, Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 2, 1970
CAUSE OF DEATH
(a) Cancer of the Pancreas
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489012
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