Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Joseph Cephas Church death at Windsor, Hants County on September 10, 1970
Male Death Registration: Year: 1970 number: 5662
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005662
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital
3. PRINT NAME OF DECEASED Church, Joseph Cephas
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Chester
9. DATE OF BIRTH 12 25, 1885
10. AGE in Years84 Months8 Days15 | hrs or mins
11. Trade or profession Turcker
12. Kind of industry
13. Date last worked 1955 14. Total years 50
15. If married name of spouse
16. NAME of Father John Church
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Miss Flossie Church
address Windsor R.R. 3
Relationship to deceased Daughter
21. Place of burial Vaughan
Date of burial September 14, 1970
22. Undertaker Lohnes Funeral Service Ltd., Windsor
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 10, 1970
CAUSE OF DEATH
(a) Arteriosclerosis
(b)
(c)
other
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