Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Henry Moore death at Waterville, Kings County on December 4, 1970
Male Death Registration: Year: 1970 number: 7110
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007110
1. PLACE OF DEATH County of Kings If in City or Town Waterville
If death occured in a hospital or institution Kings County Hospital
3. PRINT NAME OF DECEASED Moore, Charles Henry
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Kentville
9. DATE OF BIRTH 8 5, 1898
10. AGE in Years72 Months3 Days29 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry retired
13. Date last worked October 1962 14. Total years
15. If married name of spouse Bertha Pearl
16. NAME of Father William Moore
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Margaret Lightfoot
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Marjorie Moore
address 139 Lanzie Road, Kentville
Relationship to deceased daughter
21. Place of burial Steam Mill Village, Kings Co
Date of burial December 7, 1970
22. Undertaker John Aleovert, Kentville
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 4, 1970
CAUSE OF DEATH
(a)
(b) Carcinoma Kidney with metastasis to lung & brain
(c)
other gross malnutrition
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