Male Death Registration: Year: 1971 number: 3280
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003280
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution 560 King's Road, Sydney, NS
3. PRINT NAME OF DECEASED Martheleur, Elis Louis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Belgian
7. Single, Married
widowed
8. BIRTHPLACE Belgium
9. DATE OF BIRTH 9 17, 1885
10. AGE in Years85 Months6 Days27 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Raymond Martheleur
address 671 King's Road, Sydney, NS
Relationship to deceased son
21. Place of burial Resurrection Cemetery, Sydney Fork's NS
Date of burial April 17, 1971
22. Undertaker T W Curry Limited, Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 14, 1971
CAUSE OF DEATH
(a) Arteriosclerotic Heart Disease DOA
(b) Arteriosclerosis
(c)
other Multiple "strokes" Senile Organic Brain
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495356
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