Male Death Registration: Year: 1970 number: 3905
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003905
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Cerf, Eugene
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE France
9. DATE OF BIRTH 1 30, 1899
10. AGE in Years71 Months4 Days14 | hrs or mins
11. Trade or profession Merchant
12. Kind of industry General Store
13. Date last worked May 1970 14. Total years 25
15. If married name of spouse Amelia Cerf
16. NAME of Father Thaobhile Cerf
17. BIRTHPLACE France
18. NAME of Mother Odile Massien
19. BIRTHPLACE France
20. Signature of Informant Raymond Blois
address 42 Reservoir Ave, Glace Bay
Relationship to deceased Nephew
21. Place of burial Glace Bay
Date of burial June 17 1970
22. Undertaker Patten Funeral Home Limited, 71 Union St, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 13, 1970
CAUSE OF DEATH
(a) Possible myocardial infarction
(b)
(c)
other Carcinoma of lung
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489215
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