Male Death Registration: Year: 1971 number: 1444
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001444
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 Beaver, Melvin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Louisbourg, C.B. Nova Scotia
9. DATE OF BIRTH 9 2, 1916
10. AGE in Years54 Months4 Days18 | hrs or mins
11. Trade or profession Insurance Agent
12. Kind of industry London Life
13. Date last worked 3 Mo 14. Total years
15. If married name of spouse Patricia Wilson Beaver
16. NAME of Father Charles Beaver
17. BIRTHPLACE Louisbourg, C.B. N.S.
18. NAME of Mother Mary Wilson
19. BIRTHPLACE Louisbourg, C.B. N.S.
20. Signature of Informant Mrs. Patricia Beaver
address 36 Richardson Ave., Sydney
Relationship to deceased widow
21. Place of burial Forest Haven Memorial Gardens, Sydney, Glace Bay Highway, C.B.
Date of burial January 22, 1971
22. Undertaker R.H. Fillmore Funeral Home Ltd., Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 20, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b)
(c)
other This man had 3 previous coronaries.
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493522
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