Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Ross Angevine death at Amherst, Cumberland County on April 15, 1971
Male Death Registration: Year: 1971 number: 3584
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003584
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Angevine, Charles Ross
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Amherst
9. DATE OF BIRTH 4 24, 1950
10. AGE in Years20 Months11 Days22 | hrs or mins
11. Trade or profession labourer
12. Kind of industry
13. Date last worked 2 months ago 14. Total years 3 yrs
15. If married name of spouse
16. NAME of Father Wendell Angevine
17. BIRTHPLACE Cumb. Co.
18. NAME of Mother Lillian Forsythe
19. BIRTHPLACE Cumb. Co.
20. Signature of Informant Norman Wells
address 13 Queen St., Amherst
Relationship to deceased Step-Father
21. Place of burial Amherst Cemetery Co., Amherst
Date of burial April 17, 1971
22. Undertaker Furlong's Funeral Home Ltd., Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 15, 1971
CAUSE OF DEATH
(a) Awaiting report of post mortem
(b)
(c)
other Accident: Thrown from moving vehicle when it left road
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