Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charlie Johnson death at Bayfield, Antigonish County on February 11, 1971
Male Death Registration: Year: 1971 number: 1857
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001857
1. PLACE OF DEATH County of Antigonish If in City or Town Bayfield
If death occured in a hospital or institution Bayfield, NS
3. PRINT NAME OF DECEASED Johnson, Charlie
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
MicMac Indian
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 15, 1905
10. AGE in Years66 Months Days27 | hrs or mins
11. Trade or profession Trapper
12. Kind of industry self employed
13. Date last worked 14. Total years
15. If married name of spouse Caroline Doucette
16. NAME of Father Joseph Johnson
17. BIRTHPLACE NS
18. NAME of Mother Mary Joe
19. BIRTHPLACE NS
20. Signature of Informant Starr MacMullin for Richard Johnson
address Bayfield, NS
Relationship to deceased son
21. Place of burial Heatherton, Ant Co, NS
Date of burial Feb 11, 1971
22. Undertaker Curry Bros Funeral Directors Ltd, Ant, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 11, 1971
CAUSE OF DEATH
(a) Acute Cardiac Failure x 1hour
(b) Advanced Coronary Artery Disease
(c)
other
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