Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Joseph Sampson death at Halifax, Halifax County on October 23, 1970
Male Death Registration: Year: 1970 number: 6245
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006245
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital, Halifax
3. PRINT NAME OF DECEASED Sampson, John Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE River Bourgeois
9. DATE OF BIRTH 3 13, 1913
10. AGE in Years57 Months7 Days | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Annie Catherine Sampson
16. NAME of Father Charles G. Sampson
17. BIRTHPLACE River Bourgeois
18. NAME of Mother Minnie Burke
19. BIRTHPLACE Riber Bourgeois
20. Signature of Informant Mrs. Annie C. Sampson
address River Bourgeois
Relationship to deceased wife
21. Place of burial Roman Catholic cemetery, River Bourgeois
Date of burial Oct 26, 1970
22. Undertaker Alex A. Morrison
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 23, 1970
CAUSE OF DEATH
(a) Congestive heart failure
(b) Pneumonia
(c) Possible pulmonary embolism
other Pulmonary hypertension, previous mitral insufficiency
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