Male Death Registration: Year: 1970 number: 7417
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007417
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St. Rita Hospital
3. PRINT NAME OF DECEASED Coleman, Peter Bartholomew
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Cape Breton
9. DATE OF BIRTH 10 5, 1910
10. AGE in Years60 Months1 Days18 | 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 John Coleman
17. BIRTHPLACE Cape Breton
18. NAME of Mother Agnes Edwards
19. BIRTHPLACE Cape Breton
20. Signature of Informant James Coleman
address 51 Fairview St. Sydney
Relationship to deceased Brother
21. Place of burial Resurrection Cemetery, Sydney Forks
Date of burial November 23, 1970
22. Undertaker T.W. Curry Ltd. Sydney Forks
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 23, 1970
CAUSE OF DEATH
(a) Cancer of the Pancreas
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492723
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