Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John William Nicholson death at Glace Bay, Cape Breton County on May 18, 1971
Male Death Registration: Year: 1971 number: 3655
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003655
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution Mine accident #26 Colliery
3. PRINT NAME OF DECEASED Nicholson, John William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 20, 1938
10. AGE in Years32 Months7 Days28 | hrs or mins
11. Trade or profession Coal Miner
12. Kind of industry Devco Corp.
13. Date last worked May 18, 1971 14. Total years 14 years
15. If married name of spouse Lillian Nicholson
16. NAME of Father Neil Nicholson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Christine Warren
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. L. Nicholson
address 26 Douglas Avenue, Glace Bay, NS
Relationship to deceased Wife
21. Place of burial Forest Haven, Grand Lake Rd, Cape Breton Co., NS
Date of burial May 21, 1971
22. Undertaker Patten’s Funeral Home Ltd, 71 Union St, Glace Bay, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 18, 1971
CAUSE OF DEATH
(a) Fracture neck
(b)
(c)
other Accident: Struck by coal car while working underground
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