Male Death Registration: Year: 1970 number: 3711
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003711
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution Colchester Hospital
3. PRINT NAME OF DECEASED Angevine, Charles Ross
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Truro
9. DATE OF BIRTH 9 6, 1887
10. AGE in Years82 Months8 Days23 | hrs or mins
11. Trade or profession Merchant
12. Kind of industry Dealer
13. Date last worked 1968 14. Total years 60
15. If married name of spouse
16. NAME of Father Peter Angevine
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mrs May Barclay
address 1227 Prince St., Truro
Relationship to deceased Daughter
21. Place of burial Conns Mills
Date of burial May 31st, 1970
22. Undertaker W. I. Mundle, Pugwash
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 29, 1970
CAUSE OF DEATH
(a) Intestinal Obstruction
(b) Intra-Abdominal Adhesions
(c)
other Cardiac Failure Hypertension
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489021
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