Male Death Registration: Year: 1970 number: 5622
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005622
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution City Hospital
3. PRINT NAME OF DECEASED Cameron, Graham
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 7 3, 1956
10. AGE in Years14 Months2 Days16 | hrs or mins
11. Trade or profession Student
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Martin Cameron
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ella. MacKinnon
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Dave Cameron
address 142 Royal Avenue, Sydney
Relationship to deceased Cousin
21. Place of burial Resurrection Cemetery, Sydney Forks
Date of burial Sept. 21, 1970,
22. Undertaker T.W. Curry, Limited Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 19, 1970
CAUSE OF DEATH
(a)
(b)
(c) Head Injury
other (Car Accident)
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490930
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