Male Death Registration: Year: 1971 number: 1029
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001029
1. PLACE OF DEATH County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution St. Elizabeth Hospital
3. PRINT NAME OF DECEASED Quirk, Louis Frederick
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE St. Pierre Miquelon
9. DATE OF BIRTH 6 21, 1886
10. AGE in Years84 Months6 Days14 | hrs or mins
11. Trade or profession Shipper - Coal Pier
12. Kind of industry Dominion Steel & Coal Co.
13. Date last worked 1952 14. Total years 54
15. If married name of spouse Mamie Campbell
16. NAME of Father Daniel Quirk
17. BIRTHPLACE France
18. NAME of Mother Annie Roach
19. BIRTHPLACE Ireland
20. Signature of Informant Peter Quirk
address 422 Purves Street, North Sydney
Relationship to deceased Son
21. Place of burial Holy Cross Cemetery, North Sydney
Date of burial January 7, 1971
22. Undertaker W. J. Dooley Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 4, 1971
CAUSE OF DEATH
(a) Cardiovascular Disease
(b) Broncho pneumonia
(c) plegia
other Senile debility
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493107
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