Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Thomas Pellerine death at Canso, Guysborough County on September 27, 1970
Male Death Registration: Year: 1970 number: 6047
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006047
1. PLACE OF DEATH County of Guysborough If in City or Town Canso
If death occured in a hospital or institution Eastern Memorial Hospital
3. PRINT NAME OF DECEASED Pellerine, John Thomas
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Port Felix
9. DATE OF BIRTH 4 25, 1880
10. AGE in Years90 Months5 Days4 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry Fishing only
13. Date last worked 1955 14. Total years
15. If married name of spouse Victoria Boudreau
16. NAME of Father Thomas Pellerine
17. BIRTHPLACE Port Felix
18. NAME of Mother Angeline Meagher
19. BIRTHPLACE Port Felix
20. Signature of Informant Mrs. Katherine Boudreau
address Port Felix
Relationship to deceased Sister-in-law
21. Place of burial Port Felix
Date of burial September 29, 1970
22. Undertaker Nathan Rhynold
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 27, 1970
CAUSE OF DEATH
(a) Congestive Cardiac Failure
(b) A--- Fibrillation
(c)
other Diabetes Mellitus
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