Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Peter Gerald Malone death at Kempt Shore, Hants County on September 15, 1970
Male Death Registration: Year: 1970 number: 5519
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005519
1. PLACE OF DEATH County of Hants If in City or Town Kempt Shore
If death occured in a hospital or institution acute left ventricular failure
3. PRINT NAME OF DECEASED Malone, Peter Gerald
4. Sex
Male
5. Citizenship
American
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE New York, USA
9. DATE OF BIRTH 5 25, 1956
10. AGE in Years14 Months3 Days16 | hrs or mins
11. Trade or profession student
12. Kind of industry School
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Peter Raymond Malone
17. BIRTHPLACE New York, USA
18. NAME of Mother Greenough Geraldine
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Peter Malone
address 251 Maple St. Massapequa Park, New York, USA
Relationship to deceased Father
21. Place of burial Avonview, Kemp Shore
Date of burial Sep 17, 1970
22. Undertaker R.D. Lindsay, Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 15, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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