Male Death Registration: Year: 1971 number: 1588
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001588
1. PLACE OF DEATH County of Cape Breton If in City or Town Bras d'Or
If death occured in a hospital or institution Alder Point Rd. (At home)
3. PRINT NAME OF DECEASED Penny, John Stewart
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 10 4, 1899
10. AGE in Years71 Months4 Days1 | hrs or mins
11. Trade or profession Miner
12. Kind of industry Coal Mining
13. Date last worked 1963 14. Total years 32
15. If married name of spouse Emma Bertha Clarke
16. NAME of Father Samuel Penny
17. BIRTHPLACE Newfoundland
18. NAME of Mother Margaret Mahaney
19. BIRTHPLACE Newfoundland
20. Signature of Informant Burgess Penny
address 23 Atlantic St., Sydney Mines
Relationship to deceased Son
21. Place of burial Brookside Cemetery, Sydney Mines
Date of burial February 8, 1971
22. Undertaker Fillmore & Whitman Funeral Home Ltd., Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 5, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b) ASHD
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493666
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