Male Death Registration: Year: 1970 number: 4373
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004373
1. PLACE OF DEATH County of Annapolis If in City or Town Victoria Beach
3. PRINT NAME OF DECEASED Long, Charles H
4. Sex
Male
5. Citizenship
American
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Philadelphia, Pennsylvania, USA
9. DATE OF BIRTH 7 7, 1889
10. AGE in Years81 Months Days16 | hrs or mins
11. Trade or profession Clergyman
12. Kind of industry
13. Date last worked 9 ago 14. Total years 50
15. If married name of spouse
16. NAME of Father Robert Long
17. BIRTHPLACE Philadelphia, Pennsylvania, USA
18. NAME of Mother Martha Johnstone
19. BIRTHPLACE Philadelphia, Pennsylvania, USA
20. Signature of Informant ? B Brown
address 204 Kathmere Rd, Havertown, PA
Relationship to deceased sister in law
21. Place of burial Fernwood Cemetery, Halifax
Date of burial July 24, 1970
22. Undertaker Chisholms Funeral Home, Granville Ferry
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 23, 1970
CAUSE OF DEATH
(a) Coronary Thrombosis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489682
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