Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Wayne Johnson death at Wallace Bay, Cumberland County on November 24, 1970
Male Death Registration: Year: 1970 number: 6981
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006981
1. PLACE OF DEATH County of Cumberland If in City or Town Wallace Bay
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Johnson, Charles Wayne
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Pictou
9. DATE OF BIRTH 8 12, 1970
10. AGE in Years Months3 Days12 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Carl Brown
17. BIRTHPLACE Wallace
18. NAME of Mother Dorothy Joudrie
19. BIRTHPLACE Tatamagouche
20. Signature of Informant Mrs Dorothy Johnson
address Wallace Bridge
Relationship to deceased Mother
21. Place of burial Fox Harbour
Date of burial November 25 1970
22. Undertaker W I Mundle, Pugwash
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 24, 1970
CAUSE OF DEATH
(a) Suffocation with bed clothes
(b)
(c)
other Accident
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