Male Death Registration: Year: 1970 number: 4908
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004908
1. PLACE OF DEATH County of Cape Breton If in City or Town Little Lake
If death occured in a hospital or institution St. Rita Hospital
3. PRINT NAME OF DECEASED Burke, William Ernest
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 13, 1894
10. AGE in Years76 Months2 Days20 | hrs or mins
11. Trade or profession Fishing
12. Kind of industry
13. Date last worked 1968 14. Total years Life
15. If married name of spouse Mary Ann Burke
16. NAME of Father John Rich Burke
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Elizabeth Broderick
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mary A. Burke
address Little Loraine
Relationship to deceased Wife
21. Place of burial Main-A-Dieu
Date of burial August 5, 1970
22. Undertaker D.M. Johnston, Louisbourg
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 2, 1970
CAUSE OF DEATH
(a) Coronary thrombosis
(b) myocardial insufficiency
(c) Pericardial adhesions
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490217
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