Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Peter Venedam death at Antigonish, Antigonish County on May 14, 1971
Male Death Registration: Year: 1971 number: 3388
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003388
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
3. PRINT NAME OF DECEASED Venedam, Charles Peter
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Pomquet, Ant. County
9. DATE OF BIRTH 11 22, 1888
10. AGE in Years82 Months5 Days22 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Carpenter
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Peter Venedam
17. BIRTHPLACE NS
18. NAME of Mother Julia Boussard
19. BIRTHPLACE NS
20. Signature of Informant Moses Venedam
address Pomquet, Ant. Co. NS
Relationship to deceased son
21. Place of burial Holy Rosary Cemetery, Pomquet, Ant. Co. NS
Date of burial May 16, 1971
22. Undertaker Curry Bros. Funeral Directors Ltd., Antigonish
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 14, 1971
CAUSE OF DEATH
(a) Carcinomatosis
(b) Carcinoma of Mandible
(c)
other Multiple Metastases
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