Male Death Registration: Year: 1971 number: 2724
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002724
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Johnston, Donald John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Caribou Marsh, CB
9. DATE OF BIRTH 12 27, 1887
10. AGE in Years83 Months3 Days4 | hrs or mins
11. Trade or profession Steelworker
12. Kind of industry Blast Furnace
13. Date last worked 14. Total years 13 years
15. If married name of spouse
16. NAME of Father John Johnston
17. BIRTHPLACE Caribou Marsh, CB
18. NAME of Mother Annie Morrison
19. BIRTHPLACE Boulardarie, CB
20. Signature of Informant Donald Johnston
address 144 Broadway, Sydney, NS
Relationship to deceased son
21. Place of burial Forest Haven Cemetery, Sydney-Glace Bay Hwy, CB, NS
Date of burial April 2, 1971
22. Undertaker R H Fillmore Funeral Home, Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 31, 1971
CAUSE OF DEATH
(a) Arteriosclerosis
(b)
(c)
other Chronic Bronchitis Emphysema
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494801
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