Male Death Registration: Year: 1971 number: 3683
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003683
1. PLACE OF DEATH County of Cumberland If in City or Town Springhill
If death occured in a hospital or institution All Saints Springhill Hospital
3. PRINT NAME OF DECEASED Coleman, George Daniel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Welsh
7. Single, Married
married
8. BIRTHPLACE Joggins
9. DATE OF BIRTH 10 25, 1889
10. AGE in Years81 Months7 Days9 | hrs or mins
11. Trade or profession Mine Official
12. Kind of industry Coal Mining
13. Date last worked 1946 14. Total years 15 yrs
15. If married name of spouse Hannah May (MacLeod) Coleman
16. NAME of Father George Coleman
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Agnes MacKenzie
19. BIRTHPLACE Nova Scotia
20. Signature of Informant E. Coleman
address Apt. 46 3614 St Paul St. Halifax, NS
Relationship to deceased Son
21. Place of burial Springhill, NS
Date of burial June 6, 1971
22. Undertaker A.H. Brown Funeral Service Ltd, Springhill, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 3, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Arteriosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495759
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