Male Death Registration: Year: 1970 number: 4680
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004680
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital
3. PRINT NAME OF DECEASED Phillips, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Mi'Kmaq
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 5, 1888
10. AGE in Years82 Months2 Days8 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 1940 14. Total years Life
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mr. L. Pictou
address Hants Co.
Relationship to deceased None
21. Place of burial Mi'Kmaq Reserve
Date of burial 16 July 1970
22. Undertaker Withrow - McMillan, Upper Rawdon
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 13, 1970
CAUSE OF DEATH
(a) Cerebral Hemorrhage
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489989
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