Male Death Registration: Year: 1971 number: 4131
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004131
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
3. PRINT NAME OF DECEASED Brown, William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Glace Bay
9. DATE OF BIRTH 5 26, 1920
10. AGE in Years51 Months Days9 | hrs or mins
11. Trade or profession Truck Driver
12. Kind of industry
13. Date last worked 1967 14. Total years
15. If married name of spouse Patricia Wagner
16. NAME of Father William J. Brown
17. BIRTHPLACE Reserve Mines, NS
18. NAME of Mother Mary Jane Kennedy
19. BIRTHPLACE New York, USA
20. Signature of Informant William Brown
address 243 Fraser St., Glace Bay, NS
Relationship to deceased Father
21. Place of burial St. Joseph's, Glace Bay, NS
Date of burial June 7,1971
22. Undertaker V. J. McGillivray Funeral Homes Limited, Glace Bay, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 4, 1971
CAUSE OF DEATH
(a) Carcinoma Throat
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496206
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