Male Death Registration: Year: 1970 number: 4868
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004868
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital
3. PRINT NAME OF DECEASED Decoste, Charles Peter
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Tracadie
9. DATE OF BIRTH 9 22, 1888
10. AGE in Years81 Months10 Days15 | hrs or mins
11. Trade or profession Marine Engineer
12. Kind of industry National Fish
13. Date last worked Jan. 1956 14. Total years 25
15. If married name of spouse
16. NAME of Father David DeCoste
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant William DeCoste
address 9 Jackson Rd. Dartmouth
Relationship to deceased son
21. Place of burial St. Pauls Dartmouth
Date of burial Aug 8, 1970
22. Undertaker Dartmouth Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 6, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b) arterioscerosis
(c)
other anemia
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490177
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