Male Death Registration: Year: 1971 number: 2665
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002665
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hospital, New Glasgow, NS
3. PRINT NAME OF DECEASED Devane, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Ireland
9. DATE OF BIRTH 5 11, 1911
10. AGE in Years59 Months10 Days24 | hrs or mins
11. Trade or profession Truck Driver
12. Kind of industry Town of New Glasgow
13. Date last worked 14. Total years
15. If married name of spouse Myrtle Keizer
16. NAME of Father Morris Devane
17. BIRTHPLACE Ireland
18. NAME of Mother Ellen O'Conner
19. BIRTHPLACE Ireland
20. Signature of Informant Mrs. John Devane
address 152 McColl St, New Glasgow, NS
Relationship to deceased Wife
21. Place of burial Heatherdale Memorial Gardens, Pictou Co, NS
Date of burial April 7, 1971
22. Undertaker R.H. Porter Funeral Homes Ltd, New Glasgow, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 4, 1971
CAUSE OF DEATH
(a) Bronchiogenic Carcinoma
(b) With metastases liver and brain
(c)
other Bronchopneumonia
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494742
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