Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
William Theodore Melanson death at Amherst, Cumberland County on December 14, 1970
Male Death Registration: Year: 1970 number: 7212
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007212
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Melanson, William Theodore
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Minudie, NS
9. DATE OF BIRTH 12 24, 1892
10. AGE in Years77 Months11 Days20 | hrs or mins
11. Trade or profession Coal Miner & farmer
12. Kind of industry
13. Date last worked 3 yrs ago 14. Total years life
15. If married name of spouse Jane Emma Melanson
16. NAME of Father Amos Melanson
17. BIRTHPLACE Cumb. Co. NS
18. NAME of Mother Susan Burke
19. BIRTHPLACE Cumb. Co. NS
20. Signature of Informant Mary K Brown
address 25 Wellington St, Amherst
Relationship to deceased Daughter
21. Place of burial St Charles Cemetery, Amherst, NS
Date of burial Dec 16/70
22. Undertaker Furlong's Funeral Home Ltd, Amherst, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 14, 1970
CAUSE OF DEATH
(a) Chronic ?
(b)
(c)
other Pneumonia
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