Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Caleb Burton Cooke death at Sandy Point, Shelburne County on April 10, 1971
Male Death Registration: Year: 1971 number: 2817
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002817
1. PLACE OF DEATH County of Shelburne If in City or Town Sandy Point
If death occured in a hospital or institution Roseway Hospital
3. PRINT NAME OF DECEASED Cooke, Caleb Burton
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Port Mouton
9. DATE OF BIRTH 12 12, 1882
10. AGE in Years88 Months3 Days29 | hrs or mins
11. Trade or profession Retired Accountant
12. Kind of industry Royal Bank of Canada
13. Date last worked 1948 14. Total years
15. If married name of spouse Whilemina Cooke (Dec'd)
16. NAME of Father George Cooke
17. BIRTHPLACE Sambro, Halifax Co. NS
18. NAME of Mother Emma N Hatt
19. BIRTHPLACE Charleston, Queens Co. NS
20. Signature of Informant Mr Elmer Stuart
address Surf Lodge Nursing Home, Lockeport, NS
Relationship to deceased Superintendant, Nursing Home
21. Place of burial Halifax, NS
Date of burial April 13, 1971
22. Undertaker Chandler's Funeral Service Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 10, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b)
(c)
other Cholecystitis
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