Male Death Registration: Year: 1970 number: 3947
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003947
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney Mines
If death occured in a hospital or institution Harbor View Hosp.
3. PRINT NAME OF DECEASED Devine, Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 11 25, 1886
10. AGE in Years83 Months6 Days27 | hrs or mins
11. Trade or profession Miner
12. Kind of industry Coal Mine
13. Date last worked Aug/55 14. Total years 45
15. If married name of spouse Louise Devine
16. NAME of Father James Devine
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Ann O'Connell
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Louise Devine
address 48 Clyde Ave Sydney Mines
Relationship to deceased Wife
21. Place of burial St Joseph's Sydney Mines
Date of burial June 23rd, 1970
22. Undertaker George R. Frances Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 21, 1970
CAUSE OF DEATH
(a) Cardiac Arrest
(b) Anemia
(c) Pulmonary Oedema
other Cancer of Prostate
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489257
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