Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Vincent James Broome death at Caledonia, Queens County on April 11, 1971
Male Death Registration: Year: 1971 number: 2813
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002813
1. PLACE OF DEATH County of Queens If in City or Town Caledonia
If death occured in a hospital or institution North Queens Nursing Home
3. PRINT NAME OF DECEASED Broome, Vincent James
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Queens County
9. DATE OF BIRTH 7 22, 1899
10. AGE in Years71 Months8 Days18 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Labourer
13. Date last worked 1965 14. Total years
15. If married name of spouse Mrs Vincent J Broome
16. NAME of Father John Broome
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Amelia MacLeod
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr Archie Broome
address Central Port Mouton, Queens Co, NS
Relationship to deceased nephew
21. Place of burial Port Mouton, Queens Co. NS
Date of burial April 14, 1971
22. Undertaker Chandlers Funeral Home, Liverpool, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 11, 1971
CAUSE OF DEATH
(a) Carcinoma of Bowel with Multiple Metastases
(b)
(c)
other
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