Male Death Registration: Year: 1970 number: 5058
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005058
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St. Rita Hospital
3. PRINT NAME OF DECEASED Hayes, Augustine
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Placenta Bay, Newfoundland
9. DATE OF BIRTH 9 15, 1886
10. AGE in Years83 Months8 Days14 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Augustine Hayes
17. BIRTHPLACE Newfoundland
18. NAME of Mother Mary Ann Hann
19. BIRTHPLACE Newfoundland
20. Signature of Informant Rita Hayes
address 27 Ash St. Sydney
Relationship to deceased Daughter
21. Place of burial St. Theresa Cemetery, Sydney
Date of burial May 31, 1970
22. Undertaker T.W. Curry, Limited, Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 29, 1970
CAUSE OF DEATH
(a) Carcinoma of the Stomach
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490366
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