Male Death Registration: Year: 1970 number: 7569
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007569
1. PLACE OF DEATH County of Guysborough If in City or Town Guysborough
If death occured in a hospital or institution Guysborough Memorial Hospital
3. PRINT NAME OF DECEASED Pellerin, Joseph Martin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Larry's River
9. DATE OF BIRTH 2 6, 1892
10. AGE in Years78 Months10 Days13 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked 14. Total years 30
15. If married name of spouse Mrs. Joseph M. Pellerin
16. NAME of Father Frederic Pellerin
17. BIRTHPLACE Larry's River
18. NAME of Mother Geneva Avery
19. BIRTHPLACE Larry's River
20. Signature of Informant Walter J. Pellerin
address 8 Provost St. (Woodside), Dartmouth
Relationship to deceased Son
21. Place of burial Larry's River
Date of burial December 22, 1970
22. Undertaker Nathan Rhynold, Philips Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 19, 1970
CAUSE OF DEATH
(a) Coronary Thrombosis
(b)
(c)
other Diabetes Mellitus
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492875
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