Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ross Gregory Peach death at Glace Bay, Cape County on September 13, 1970
Male Death Registration: Year: 1970 number: 5724
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005724
1. PLACE OF DEATH County of Cape If in City or Town Glace Bay
If death occured in a hospital or institution St. Joseph's Hospital
3. PRINT NAME OF DECEASED Peach, Ross Gregory
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 12, 1970
10. AGE in Years0 Months0 Days1 | hrs or mins
11. Trade or profession Infant
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother Valere Elaine Peach
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Colin Peach
address 14 Poplar St. Glace Bay
Relationship to deceased Grandfather
21. Place of burial Centerville, Reserve Mines
Date of burial September 15, 1970
22. Undertaker Pattens Funeral Home Ltd. Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 13, 1970
CAUSE OF DEATH
(a) Hyaline Membrane
(b)
(c)
other
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