Male Death Registration: Year: 1971 number: 3660
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003660
1. PLACE OF DEATH County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution St Elizabeth Hospital
3. PRINT NAME OF DECEASED Andrews, Harold
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE North Sydney
9. DATE OF BIRTH 10 25, 1895
10. AGE in Years75 Months7 Days3 | hrs or mins
11. Trade or profession Moulder
12. Kind of industry Marine Railway
13. Date last worked 1970 14. Total years 50
15. If married name of spouse Elizabeth Gallant
16. NAME of Father Albert Andrews
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Nora Jessome
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Everett Andrews
address 21 Victoria St., North Sydney
Relationship to deceased Son
21. Place of burial Lakeside Cemetery, North Sydney
Date of burial May 31, 1971
22. Undertaker Fillmore & Whitman Funeral Home Ltd. North Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 28, 1971
CAUSE OF DEATH
(a) Carcinoma Stomach
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495736
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