Male Death Registration: Year: 1971 number: 2872
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002872
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital, Antigonish, NS
3. PRINT NAME OF DECEASED Decoste, Christopher David
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Cape Jack, Ant. Co
9. DATE OF BIRTH 12 3, 1920
10. AGE in Years50 Months4 Days6 | hrs or mins
11. Trade or profession disabled
12. Kind of industry
13. Date last worked 14. Total years 1955
15. If married name of spouse
16. NAME of Father Edward DeCoste
17. BIRTHPLACE NS
18. NAME of Mother Lottie Breen
19. BIRTHPLACE NS
20. Signature of Informant Mrs. Margaret Curtis
address Cape Jack, Ant. Co, NS
Relationship to deceased Sister
21. Place of burial St. Paul's R.C. Cemetery Havre Boucher, NS
Date of burial April 12, 1971
22. Undertaker Curry Bros Funeral Director's Ltd, Antigonish, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 9, 1971
CAUSE OF DEATH
(a) Pulmonary Embolism
(b) Gross obesity
(c)
other Diabetes Mellitus, Essential Hypertension
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494949
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