Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Everett Matheson death at Lockeport, Shelburne County on November 24, 1970
Male Death Registration: Year: 1970 number: 6893
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006893
1. PLACE OF DEATH County of Shelburne If in City or Town Lockeport
If death occured in a hospital or institution Harbour View Rest Home
3. PRINT NAME OF DECEASED Matheson, John Everett
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 26, 1880
10. AGE in Years90 Months3 Days29 | hrs or mins
11. Trade or profession labourer/clerk
12. Kind of industry
13. Date last worked 1960 14. Total years 50
15. If married name of spouse Anna Matheson
16. NAME of Father Daniel Matheson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Tembrance Swaine
19. BIRTHPLACE Nova Scotia
20. Signature of Informant John D. Matheson
address Cape Negro
Relationship to deceased Son
21. Place of burial Cape Negro
Date of burial Nov 26, 1970
22. Undertaker C.A. Kenney, Barrington, Shelb. Co.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 24, 1970
CAUSE OF DEATH
(a) Coronary Thrombosis and Mycardial Infarction
(b) Coronary Atherosclerosis
(c)
other Bronchitis and Emphysema
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