Male Death Registration: Year: 1970 number: 6836
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006836
1. PLACE OF DEATH County of Cumberland If in City or Town Little River
3. PRINT NAME OF DECEASED Black, Charles Ira
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Cumberland County
9. DATE OF BIRTH 2 22, 1900
10. AGE in Years70 Months8 Days15 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry
13. Date last worked 1965 14. Total years 45
15. If married name of spouse Annie Black
16. NAME of Father Rufus Black
17. BIRTHPLACE Cumberland County
18. NAME of Mother Margaret Stewart
19. BIRTHPLACE Cumberland County
20. Signature of Informant Rufus F Black
address Oxford
Relationship to deceased Son
21. Place of burial Little River
Date of burial Nov 8, 1970
22. Undertaker C W Black, Oxford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 6, 1970
CAUSE OF DEATH
(a) Coronary Thrombosis
(b) 2 previous coronaries
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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