Male Death Registration: Year: 1970 number: 7439
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007439
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney Mines
If death occured in a hospital or institution Harbour View Hospital
3. PRINT NAME OF DECEASED Wallace, James Rae
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 21, 1932
10. AGE in Years38 Months4 Days9 | hrs or mins
11. Trade or profession Miner
12. Kind of industry Coal Mining
13. Date last worked December 19, 1970 14. Total years 18
15. If married name of spouse Carole MacLennan
16. NAME of Father William Wallace
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Helen Christine MacGillivary
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Carole C. Wallace
address MacAulay St. Florence
Relationship to deceased Wife
21. Place of burial Brookside Cemetery, Sydney Mines
Date of burial January 1, 1971
22. Undertaker Fillmore & Whitman Funeral Home Ltd. Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 30, 1970
CAUSE OF DEATH
(a) Pneumonia
(b) Fractured right humerus
(c)
other accident - pelvis crushed between wall and conveyor belt
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492745
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