Male Death Registration: Year: 1971 number: 1729
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001729
1. PLACE OF DEATH County of Cape Breton If in City or Town Scotchtown
If death occured in a hospital or institution Union Highway
3. PRINT NAME OF DECEASED Pembroke, Patrick
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Lingan
9. DATE OF BIRTH 1 30, 1907
10. AGE in Years64 Months0 Days4 | hrs or mins
11. Trade or profession Coal Miner
12. Kind of industry
13. Date last worked 1950 14. Total years 20
15. If married name of spouse Rose Gallant
16. NAME of Father James Pembroke
17. BIRTHPLACE Margaree, Cape Breton
18. NAME of Mother Margaret Ryan
19. BIRTHPLACE River Ryan, Cape Breton
20. Signature of Informant Malcolm J. Nemis
address 27 Clogham St., New Waterford
Relationship to deceased Son-in-law
21. Place of burial St. Michael Cemetery, Scotchtown
Date of burial February 6, 1971
22. Undertaker V.J. McGillivray Funeral Home Limited, New Waterford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 3, 1971
CAUSE OF DEATH
(a) Coronary occlusion
(b) ASHD
(c)
other Congestive HF
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493807
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