Male Death Registration: Year: 1971 number: 4130
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004130
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution Glace Bay General Hospital
3. PRINT NAME OF DECEASED Carabin, Henry Ross
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Belgian
7. Single, Married
married
8. BIRTHPLACE Belgium
9. DATE OF BIRTH 2 6, 1908
10. AGE in Years63 Months3 Days28 | hrs or mins
11. Trade or profession Retired Salesman
12. Kind of industry wholesale
13. Date last worked 1970 14. Total years 40 years
15. If married name of spouse Helen Carabin
16. NAME of Father Joseph Carabin
17. BIRTHPLACE Belgium
18. NAME of Mother Victoria Pierotte
19. BIRTHPLACE Belgium
20. Signature of Informant George F Carabin
address 4 May St., Glace Bay, NS
Relationship to deceased Brother
21. Place of burial Greenwood Cemetery, Glace Bay, NS
Date of burial June 6,1971
22. Undertaker Patten's Funeral Home Ltd., Glace Bay, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 3, 1971
CAUSE OF DEATH
(a) Acute Coronary Occlusion
(b) Arteriosclerosis
(c) (illegible)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496205
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