Male Death Registration: Year: 1971 number: 2364
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002364
1. PLACE OF DEATH County of Cape Breton If in City or Town Point Edward
If death occured in a hospital or institution Point Edward Hospital
3. PRINT NAME OF DECEASED Fraser, John Kenneth
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Pleasant Bay, C.B.
9. DATE OF BIRTH 12 3, 1916
10. AGE in Years54 Months2 Days22 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry Fishing
13. Date last worked 1954 14. Total years 20
15. If married name of spouse
16. NAME of Father Sandy Fraser
17. BIRTHPLACE Pleasant Bay, C.B., Nova Scotia
18. NAME of Mother Mary MacKinnon
19. BIRTHPLACE Cape North, C.B., Nova Scotia
20. Signature of Informant Hospital Chart
address
Relationship to deceased
21. Place of burial Pleasant Bay
Date of burial February 27, 1971
22. Undertaker Louis L. Chaisson & Son, Cheticamp
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 25, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Chronic Bronchitis
(c)
other Pulmonary Tb, F.A. Inactive
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494441
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