Male Death Registration: Year: 1971 number: 1718
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001718
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED Carter, John Morgan
4. Sex
Male
5. Citizenship
American
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Gainesboro, Tenn., U.S.A.
9. DATE OF BIRTH 12 24, 1913
10. AGE in Years59 Months1 Days18 | hrs or mins
11. Trade or profession Piping Craft Super.
12. Kind of industry
13. Date last worked Jan 30/71 14. Total years 1
15. If married name of spouse Mrs. Pearl Carter
16. NAME of Father Lee Carter
17. BIRTHPLACE Tennessee, U.S.A.
18. NAME of Mother Lena Hopkins
19. BIRTHPLACE Tennessee, U.S.A.
20. Signature of Informant Mrs. Pearl Carter
address Queen St., Port Hawkesbury
Relationship to deceased Wife
21. Place of burial Fresno, California
Date of burial February 16, 1971
22. Undertaker Thompson & Haverstock Funeral Home, Port Hawkesbury
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 11, 1971
CAUSE OF DEATH
(a) Congestive Cardiac Failure
(b) Toxic Myocarditis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493796
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