Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Reginald Leo Coolen death at Halifax, Halifax County on August 21, 1970
Male Death Registration: Year: 1970 number: 5021
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005021
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution St. Vincent Guest Home
3. PRINT NAME OF DECEASED Coolen, Reginald Leo
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Upper Prospect
9. DATE OF BIRTH 1 30, 1873
10. AGE in Years97 Months6 Days21 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Labourer
13. Date last worked 1910 14. Total years 10
15. If married name of spouse
16. NAME of Father Joseph Coolen
17. BIRTHPLACE Prospect
18. NAME of Mother Annie Hearn
19. BIRTHPLACE Prospect
20. Signature of Informant Mrs. Anastasia Doherty
address Apt 985-2151 Gottingen Street, Halifax
Relationship to deceased sister
21. Place of burial Upper Prospect
Date of burial August 22, 1970
22. Undertaker Cruickshank Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 21, 1970
CAUSE OF DEATH
(a) Cardiac Insuffiency
(b) Bronchopnematia
(c)
other
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