Male Death Registration: Year: 1971 number: 2734
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002734
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital
3. PRINT NAME OF DECEASED Soper, Samson
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nfld
9. DATE OF BIRTH 11 15, 1896
10. AGE in Years74 Months4 Days22 | hrs or mins
11. Trade or profession Steelworker
12. Kind of industry Scrapyard
13. Date last worked 14. Total years 9 yrs
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Frank Soper
address RR#3 George's River, CB, NS
Relationship to deceased son
21. Place of burial Forest Haven Cemetery, Sydney-Glace Bay Hwy, CB, NS
Date of burial April 8, 1871
22. Undertaker R H Fillmore Funeral Home, Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 6, 1971
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494811
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