Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
James Dryden Coutts death at Antigonish, Antigonish County on June 23, 1971
Male Death Registration: Year: 1971 number: 4123
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004123
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED Coutts, James Dryden
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Angus, Scotland
9. DATE OF BIRTH 1 25, 1891
10. AGE in Years80 Months4 Days29 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father James Coutts
17. BIRTHPLACE Scotland
18. NAME of Mother Mary Ferguson
19. BIRTHPLACE Scotland
20. Signature of Informant Mrs. Helen Bernasconi
address Afton, NS
Relationship to deceased Ex-Daughter-in-Law
21. Place of burial Scotsburn United Church Cemetery
Date of burial June 26, 1971
22. Undertaker Curry Brothers Funeral Directors Ltd., Antigonish
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 23, 1971
CAUSE OF DEATH
(a) Chronic Pyelonephritis
(b) Prostatic Hypertrophy
(c)
other Arteriosclerotic Heart Disease
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