Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Samuel Mattatall death at Truro, Colchester County on December 7, 1970
Male Death Registration: Year: 1970 number: 7301
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007301
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution Col Co Hospital
3. PRINT NAME OF DECEASED Mattatall, Samuel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Maitland
9. DATE OF BIRTH 7 17, 1880
10. AGE in Years90 Months4 Days20 | hrs or mins
11. Trade or profession Retired Labourer
12. Kind of industry
13. Date last worked 1959 14. Total years life
15. If married name of spouse
16. NAME of Father Simon Mattatall
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Rachael
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Fred Roy
address Maitland
Relationship to deceased None
21. Place of burial Maitland
Date of burial 9 Dec 1970
22. Undertaker Ettinger Funeral Service Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 7, 1970
CAUSE OF DEATH
(a) bronchogenic CA of Lung
(b)
(c)
other
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