Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Waters death at Baddeck, Victoria County on March 28, 1971
Male Death Registration: Year: 1971 number: 2580
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002580
1. PLACE OF DEATH County of Victoria If in City or Town Baddeck
If death occured in a hospital or institution Victoria County Memorial Hospital
3. PRINT NAME OF DECEASED Waters, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Lake Ainslie, CB
9. DATE OF BIRTH 11 10, 1901
10. AGE in Years69 Months4 Days18 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 1969 14. Total years 45
15. If married name of spouse Mrs Lillian Waters
16. NAME of Father Permafens Waters
17. BIRTHPLACE P E I
18. NAME of Mother Jessie MacKay
19. BIRTHPLACE Lake Ainslie, CB
20. Signature of Informant Melvin Waters
address hycocomagh, Inv. Co. NS
Relationship to deceased son
21. Place of burial Lake Ainslie, CB
Date of burial March 30, 1971
22. Undertaker A D Ingraham
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 28, 1971
CAUSE OF DEATH
(a) Coronary Artery Disease
(b)
(c)
other Cerebral atherosclerosis gout
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