Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Harold Pelletier death at Sydney, Cape Breton County on January 9, 1971
Male Death Registration: Year: 1971 number: 1098
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001098
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital
3. PRINT NAME OF DECEASED Pelletier, Harold
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Owen Sound, Ontario
9. DATE OF BIRTH 8 24, 1899
10. AGE in Years71 Months4 Days16 | hrs or mins
11. Trade or profession International Paper Co.
12. Kind of industry Switch board
13. Date last worked 9 yrs. 14. Total years
15. If married name of spouse Margaret Jane Simmons
16. NAME of Father Joseph Pelletier
17. BIRTHPLACE Bathurst, N.B.
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant ?? PerL Mrs. Margaret Jane Pelletier
address 100 Bay Street, Sydney
Relationship to deceased Widow
21. Place of burial MacGregor Cemetery, Sydney River
Date of burial January 11, 1971
22. Undertaker R. H. Fillmore Funeral Home Ltd., Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 9, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b)
(c)
other
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