Male Death Registration: Year: 1970 number: 5084
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005084
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney Mines
If death occured in a hospital or institution Harbour View Hospital
3. PRINT NAME OF DECEASED Matheson, Frederick William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE British Columbia
9. DATE OF BIRTH 5 9, 1907
10. AGE in Years63 Months3 Days11 | hrs or mins
11. Trade or profession Taxi Operator
12. Kind of industry Auto Taxi
13. Date last worked 1968 14. Total years 16
15. If married name of spouse Helen Agnes Dandy
16. NAME of Father Frederick William Matheson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Catherine Matheson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Winston Matheson
address 9 Oxford Ave. Sydney Mines
Relationship to deceased Son
21. Place of burial Brookside Cemetery, Sydney Mines
Date of burial
22. Undertaker Fillmore & Whitman Funeral Home Ltd. Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 20, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490392
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