Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Copage death at Berwick, Kings County on October 12, 1970
Male Death Registration: Year: 1970 number: 6211
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006211
1. PLACE OF DEATH County of Kings If in City or Town Berwick
3. PRINT NAME OF DECEASED Copage, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Indian Mi'kmaq
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 2, 1883
10. AGE in Years87 Months5 Days10 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Mary Copage
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant
address
Relationship to deceased
21. Place of burial
Date of burial
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 12, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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