Male Death Registration: Year: 1970 number: 5629
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005629
1. PLACE OF DEATH County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution St. Elizabeth Hospital, North Sydney
3. PRINT NAME OF DECEASED Penny, Ambrose
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 20, 1913
10. AGE in Years57 Months Days | hrs or mins
11. Trade or profession Telegrapher
12. Kind of industry C.N. Telegrams
13. Date last worked April 1970 14. Total years 44
15. If married name of spouse Mary Barnes
16. NAME of Father Philip Penny
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Theresa Poole
19. BIRTHPLACE Newfoundland
20. Signature of Informant William Penny
address 11 Beech St., North Sydney
Relationship to deceased Brother
21. Place of burial Holy Cross, North Sydney
Date of burial September 23, 1970
22. Undertaker W. J. Dooley Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 20, 1970
CAUSE OF DEATH
(a) Metastatic Cancer Brain
(b) Cancer of Lung
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490937
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