Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Charles H Long death at Victoria Beach, Annapolis County on July 23, 1970

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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