Male Death Registration: Year: 1970 number: 5360
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005360
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution General Hospital, Glace Bay
3. PRINT NAME OF DECEASED Hart, David
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 4, 1895
10. AGE in Years74 Months9 Days27 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry Odd jobs
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father William Hart
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Catherine MacDonald
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. John Perry
address 33 Main Street, Glace Bay
Relationship to deceased None
21. Place of burial St. Anne’s, Glace Bay
Date of burial August 3, 1970
22. Undertaker Curry’s Funeral Home, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 31, 1970
CAUSE OF DEATH
(a) Pneumonia
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490668
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