Male Death Registration: Year: 1971 number: 2397
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002397
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution on highway
3. PRINT NAME OF DECEASED Cogswell, Charles Wilfred
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE St. John, New Brunswick
9. DATE OF BIRTH 4 3, 1921
10. AGE in Years49 Months11 Days2 | hrs or mins
11. Trade or profession Sysco
12. Kind of industry Blast Furnace
13. Date last worked 14. Total years
15. If married name of spouse Annie Smith Cogswell
16. NAME of Father Ottis Cogswell
17. BIRTHPLACE St. John, NB
18. NAME of Mother Susan Doner
19. BIRTHPLACE St. John, NB
20. Signature of Informant Wallace Smith
address 429 Burchill Drive, Sydney, NS
Relationship to deceased Brother in law
21. Place of burial Eastmount Cemetery, Sydney
Date of burial March 9, 1971
22. Undertaker R.H. Fillmore Funeral Home Ltd., Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 5, 1971
CAUSE OF DEATH
(a) Respiratory Failure
(b) Multiple injuries-crushed chest, fractured ribs, torn lungs
(c) Automobile accident
other Accident: 2-car collision
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494474
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