Male Death Registration: Year: 1970 number: 6145
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006145
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
3. PRINT NAME OF DECEASED Payn, William Edwin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Burin, Newfoundland
9. DATE OF BIRTH 9 22, 1892
10. AGE in Years78 Months0 Days20 | hrs or mins
11. Trade or profession Dept. Veteran's Affairs
12. Kind of industry Investigator
13. Date last worked 1967 14. Total years
15. If married name of spouse Catherine MacIntyre Payn
16. NAME of Father William Payn
17. BIRTHPLACE Burin, Newfoundland
18. NAME of Mother Jessie Duder
19. BIRTHPLACE Channell Islands
20. Signature of Informant Edwin Payn
address 255 Cottage Rd., Sydney
Relationship to deceased Son
21. Place of burial Forest Haven Memorial, Sydney, Glace Bay Highway
Date of burial October 15, 1970
22. Undertaker R. H. Fillmore Funeral Home Ltd., Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 12, 1970
CAUSE OF DEATH
(a) Acute coronary artery occlusion
(b) Chronic arterio-sclerosis
(c) Angina pectoris
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491452
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