Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Everett Lewis Colburne death at New Waterford, Cape Breton County on June 7, 1970
Male Death Registration: Year: 1970 number: 3934
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003934
1. PLACE OF DEATH County of Cape Breton If in City or Town New Waterford
If death occured in a hospital or institution New Waterford Hospital
3. PRINT NAME OF DECEASED Colburne, Everett Lewis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Shulie
9. DATE OF BIRTH 4 4, 1890
10. AGE in Years80 Months2 Days3 | hrs or mins
11. Trade or profession Coal miner
12. Kind of industry Coal Mining
13. Date last worked 1955 14. Total years 30
15. If married name of spouse Isabelle Lawrie
16. NAME of Father William Colburne
17. BIRTHPLACE Oxford
18. NAME of Mother Alice Patterson
19. BIRTHPLACE Shulie
20. Signature of Informant Mrs. Douglas Powell
address R. R # 1 Fredericton
Relationship to deceased Daughter
21. Place of burial Forest Haven memorial Gardens, Sydney, Glace Bay Highway
Date of burial June 10, 1970
22. Undertaker V. J. McGillivray Funeral Homes Ltd. New Waterford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 7, 1970
CAUSE OF DEATH
(a) Cerebral Hemorrhage
(b) Cerebral Arteriosclero
(c) Generalized Arteriosclerosis
other
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