Male Death Registration: Year: 1970 number: 5741
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005741
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
3. PRINT NAME OF DECEASED Gouthro, Robert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 13, 1903
10. AGE in Years67 Months1 Days18 | hrs or mins
11. Trade or profession Miner
12. Kind of industry Coal Mining
13. Date last worked 1968 14. Total years 45
15. If married name of spouse Emma Gouthro
16. NAME of Father Edward Gouthro
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Young
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Frank Gouthro
address Sydney Mines
Relationship to deceased Son
21. Place of burial Holy Cross Cemetery, North Sydney
Date of burial October 4, 1970
22. Undertaker W.J. Dooley Funeral Service Ltd. North Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 1, 1970
CAUSE OF DEATH
(a) Absess Larynx
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491049
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