Male Death Registration: Year: 1970 number: 7635
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007635
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution St. Joseph's Hospital
3. PRINT NAME OF DECEASED Kelly, Michael Francis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 3 5, 1887
10. AGE in Years83 Months8 Days9 | hrs or mins
11. Trade or profession Miner
12. Kind of industry Dominion Coal Company
13. Date last worked 1952 14. Total years 53
15. If married name of spouse Elizabeth Kelly
16. NAME of Father William Kelly
17. BIRTHPLACE Newfoundland
18. NAME of Mother Helen
19. BIRTHPLACE Newfoundland
20. Signature of Informant Cecil Kelly
address 92 Fifth Street, New Aberdeen, Glace Bay
Relationship to deceased son
21. Place of burial St. Johns Cemetery, Glace Bay
Date of burial November 17, 1970
22. Undertaker Curry's Funeral Home, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 14, 1970
CAUSE OF DEATH
(a) Myocardial infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492941
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