Male Death Registration: Year: 1971 number: 3489
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003489
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 Dort, Cecil William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
married
8. BIRTHPLACE Antigonish
9. DATE OF BIRTH 8 28, 1914
10. AGE in Years56 Months7 Days24 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry Self-employed
13. Date last worked Apr 17/71 14. Total years 30 yrs
15. If married name of spouse Marguerite Dort
16. NAME of Father Alfred Dort
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Catherine Gerrior
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Marguerite Dort
address Boylston, NS
Relationship to deceased Wife
21. Place of burial Guysborough, NS
Date of burial April 23, 1971
22. Undertaker Thompson & Haverstock Funeral Home, Port Hawkesbury, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 21, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495565
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