Male Death Registration: Year: 1970 number: 5522
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005522
1. PLACE OF DEATH County of Inverness If in City or Town Inverness
If death occured in a hospital or institution St. Mary's Hospital
3. PRINT NAME OF DECEASED Fontaine, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Mabou
9. DATE OF BIRTH 9 30, 1902
10. AGE in Years67 Months11 Days7 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry Farming
13. Date last worked September 5, 1970 14. Total years 45 years
15. If married name of spouse Mrs. Mary Fontaine
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mary Fontaine
address R. R. #2 Mabou
Relationship to deceased Wife
21. Place of burial Mabou
Date of burial Sept. 9, 1970
22. Undertaker Rod MacDonald Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 6, 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=490830
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