Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

John Edward Sammon death at Berwick, Kings County on February 7, 1971

Male Death Registration: Year: 1971 number: 2164

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 002164

1. PLACE OF DEATH   County of Kings If in City or Town Berwick
If death occured in a hospital or institution Western Kings Memorial Hospital

3. PRINT NAME OF DECEASED Sammon, John Edward

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

Irish

7. Single, Married

married

8. BIRTHPLACE Ontario

9. DATE OF BIRTH 12  23, 1907

10. AGE in  Years63  Months1  Days14 | hrs or mins

11. Trade or profession Flight engineer

12. Kind of industry RCAF (ret. 1958)

13. Date last worked 1968       14. Total years Life

15. If married name of spouse Geraldine Gay

16. NAME of Father Edward Sammon

17. BIRTHPLACE Ireland

18. NAME of Mother Mary  Sammon

19. BIRTHPLACE Ireland

20. Signature of Informant Mrs J E Sammon

      address 16 Argus Dr. Greenwood, Kings Co. NS

      Relationship to deceased wife

21. Place of burial Aylesford, Kings Co. NS

      Date of burial February 10, 1971

22. Undertaker Warren T Roop Ltd. Middleton, NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH February 7, 1971

CAUSE OF DEATH

(a) CVA Broncho Pneumonia

(b) CHF

(c) ASHD

other Myocardiosclerosis

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