Male Death Registration: Year: 1970 number: 7040
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007040
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Cook, John Nehemiah
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 27, 1892
10. AGE in Years78 Months5 Days3 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Dockyard employee
13. Date last worked 1960 14. Total years
15. If married name of spouse Jennie M. Cook
16. NAME of Father Samuel Cook
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Sarah Lynch
19. BIRTHPLACE Nova Scotia
20. Signature of Informant James M. Cook
address 6 Nivens Ave, Dartmouth
Relationship to deceased Son
21. Place of burial Upper Rawdon Cemetery, Hants Co.
Date of burial December 2, 1970
22. Undertaker Withrow-McMillan, Upper Rawdon
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 30, 1970
CAUSE OF DEATH
(a) Chronic Obstructive Lung Disease
(b) Cardiac arrhythmia
(c) Respiratory failure
other Chronic Alcoholism
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492346
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