Male Death Registration: Year: 1970 number: 4920
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004920
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital
3. PRINT NAME OF DECEASED Appleton,
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 4 14, 1970
10. AGE in Years Months Days | 6 hrs or 22 mins
11. Trade or profession Newborn
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Roy Appleton
17. BIRTHPLACE Glace Bay
18. NAME of Mother Norma MacLeod
19. BIRTHPLACE Glace Bay
20. Signature of Informant Mrs. Norma Appleton
address 65 4th Street, Glace Bay
Relationship to deceased Mother
21. Place of burial Greenwood Cemetery, Glace Bay
Date of burial 17 August 1970
22. Undertaker Patten's Funeral Home, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 14, 1970
CAUSE OF DEATH
(a) Atelectasis both Lungs
(b) Prematurity
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490229
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