Male Death Registration: Year: 1970 number: 6955
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006955
1. PLACE OF DEATH County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution St. Elizabeth Hospital
3. PRINT NAME OF DECEASED Wall, Thomas H
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 4 7, 1876
10. AGE in Years94 Months7 Days20 | hrs or mins
11. Trade or profession Miner
12. Kind of industry Coal
13. Date last worked 14. Total years
15. If married name of spouse Jane Cook
16. NAME of Father Patrick Wall
17. BIRTHPLACE Newfoundland
18. NAME of Mother Mary Wall
19. BIRTHPLACE Newfoundland
20. Signature of Informant William Wall
address Parnell St. North Sydney
Relationship to deceased son
21. Place of burial Holy Cross Cemetery, North Sydney
Date of burial Nov. 30, 1970
22. Undertaker W.J. Dooley Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 27, 1970
CAUSE OF DEATH
(a) pneumonia
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492262
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