Male Death Registration: Year: 1971 number: 3770
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003770
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution St. Joseph's Hospital, Glace Bay, NS
3. PRINT NAME OF DECEASED Borgal, Raymond Alexander
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Glace Bay
9. DATE OF BIRTH 9 5, 1908
10. AGE in Years62 Months9 Days | hrs or mins
11. Trade or profession Retired Coal Miner
12. Kind of industry Dominion Coal Co.
13. Date last worked 1961 14. Total years
15. If married name of spouse Ann Burnett (deceased)
16. NAME of Father Allister Borgal
17. BIRTHPLACE Halifax, NS
18. NAME of Mother Florence O'Neil
19. BIRTHPLACE Glace Bay, NS
20. Signature of Informant Margaret Borgal
address 84 Main Street, Reserve, NS
Relationship to deceased Daughter
21. Place of burial St. Joseph's, Glace Bay, NS
Date of burial June 8, 1971
22. Undertaker V. J. McGillivray Funeral Homes Limited, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 5, 1971
CAUSE OF DEATH
(a) Carcinoma of Caecum
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495846
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