Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Charles Nelson Melanson death at Yarmouth, Yarmouth County on December 10, 1970

Male Death Registration: Year: 1970 number: 7363

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 007363

1. PLACE OF DEATH   County of Yarmouth If in City or Town Yarmouth

3. PRINT NAME OF DECEASED Melanson, Charles Nelson

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

French

7. Single, Married

married

8. BIRTHPLACE Pinkney's Point

9. DATE OF BIRTH 4  12, 1903

10. AGE in  Years67  Months7  Days28 | hrs or mins

11. Trade or profession Labourer

12. Kind of industry

13. Date last worked Dec. 2, 1970       14. Total years 28

15. If married name of spouse Beatrice Melanson

16. NAME of Father Charles Adrien Mélanson

17. BIRTHPLACE Pinkney's Pooint

18. NAME of Mother Marie Jane Clermont

19. BIRTHPLACE Pinkney's Point

20. Signature of Informant Mrs. Beatrice Melanson

      address 469 Main St., Yarmouth

      Relationship to deceased Wife

21. Place of burial Our Lady of Calvary, Yarmouth

      Date of burial December 12, 1970

22. Undertaker H. M. Huskilson's Funeral Home, Albert Street Box 284, Yarmouth, per Geo. A. Clements

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH December 10, 1970

CAUSE OF DEATH

(a) Coronary thrombosis

(b) A.S.H.D

(c)

other Asthma, bronchitis

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