Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ervin Roderick Williams death at New Waterford, Cape Breton County on October 10, 1970
Male Death Registration: Year: 1970 number: 6279
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006279
1. PLACE OF DEATH County of Cape Breton If in City or Town New Waterford
If death occured in a hospital or institution New Waterford Hospital
3. PRINT NAME OF DECEASED Williams, Ervin Roderick
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Ingonish
9. DATE OF BIRTH 2 4, 1912
10. AGE in Years58 Months8 Days6 | hrs or mins
11. Trade or profession Coal Miner
12. Kind of industry
13. Date last worked 1965 14. Total years 22
15. If married name of spouse Angle Le Moine
16. NAME of Father Charles Williams
17. BIRTHPLACE Ingonish
18. NAME of Mother Sarah MacIntyre
19. BIRTHPLACE Ingonish
20. Signature of Informant Archie F. Williams
address 19 Thomas Street, Scotchtown
Relationship to deceased Son
21. Place of burial St. Michael Cemetery, Scotchtown
Date of burial October 13, 1970
22. Undertaker V.J. McGillivray Funeral Homes Limited, New Waterford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 10, 1970
CAUSE OF DEATH
(a) Respiratory acidosis
(b) Pulmonary fibrosis & emphysema
(c) Pneumoconiosis & silicosis
other
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