Male Death Registration: Year: 1970 number: 6155
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006155
1. PLACE OF DEATH County of Cape Breton If in City or Town North Sydney
3. PRINT NAME OF DECEASED Green, Rupert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Burgeo, Newfoundland
9. DATE OF BIRTH 8 7, 1897
10. AGE in Years73 Months2 Days13 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry Fishing
13. Date last worked 1955 14. Total years 40
15. If married name of spouse Mary Jane Clothier
16. NAME of Father William Green
17. BIRTHPLACE Newfoundland
18. NAME of Mother
19. BIRTHPLACE Newfoundland
20. Signature of Informant Enos F. Green
address 59 Pierce St., North Sydney
Relationship to deceased Son
21. Place of burial Lakeside Cemetery, North Sydney
Date of burial October 22, 1970
22. Undertaker Fillmore & Whitman Funeral Home Ltd, North Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 20, 1970
CAUSE OF DEATH
(a) Acute myocardial infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491462
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