Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Samuel Fletcher Campbell death at New Glasgow, Pictou County on May 25, 1970
Male Death Registration: Year: 1970 number: 3757
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003757
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Campbell’s Lane, Pictou
3. PRINT NAME OF DECEASED Campbell, Samuel Fletcher
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 25, 1873
10. AGE in Years97 Months2 Days | hrs or mins
11. Trade or profession Baker retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Samuel Campbell
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant John Campbell
address 13 Campbell's Lane, New Glasgow
Relationship to deceased Son
21. Place of burial Haliburton Cem. Pictou
Date of burial May 28, 1970
22. Undertaker R. H. Porter Funeral Homes
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 25, 1970
CAUSE OF DEATH
(a) Senility
(b) arterosclerosis
(c)
other
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