Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Charles Penny death at Sydney, Cape Breton County on December 21, 1970

Male Death Registration: Year: 1970 number: 7298

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 007298

1. PLACE OF DEATH   County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital

3. PRINT NAME OF DECEASED Penny, Charles

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

single

8. BIRTHPLACE Sydney Mines

9. DATE OF BIRTH 12  20, 1970

10. AGE in  Years  Months  Days1 | 6 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 William Penny

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Sharon King

19. BIRTHPLACE Nova Scotia

20. Signature of Informant William C. Taylor

      address Bras d'Or Road, Florence

      Relationship to deceased Uncle

21. Place of burial St. Joseph's Cemetery, Sydney Mines

      Date of burial December 21, 1970

22. Undertaker Fillmore and Whitman Funeral Home Ltd. Sydney Mines

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH December 21, 1970

CAUSE OF DEATH

(a) Respiratory distress syndrome

(b) Prematurity

(c)

other

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