Male Death Registration: Year: 1970 number: 5718
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005718
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution Glace Bay General Hospital
3. PRINT NAME OF DECEASED Simpson, James Alexander
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 18, 1910
10. AGE in Years60 Months4 Days24 | hrs or mins
11. Trade or profession Retired Coal Miner
12. Kind of industry Dominion Coal Company
13. Date last worked 1959 14. Total years 20
15. If married name of spouse Margaret Simpson
16. NAME of Father George Simpson
17. BIRTHPLACE Scotland
18. NAME of Mother Jessie Robinson
19. BIRTHPLACE United States
20. Signature of Informant Louis Burnett for Andy Newell
address 76½ Phalen Rd. Glace Bay
Relationship to deceased Son-in-law
21. Place of burial Forest Haven, Sydney
Date of burial August 14, 1970
22. Undertaker Patten's Funeral Home Ltd. Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 11, 1970
CAUSE OF DEATH
(a) Right sided Heart Failure
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491026
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