Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Samuel Warren death at Point Edward, Cape Breton County on June 30, 1971

Male Death Registration: Year: 1971 number: 4243

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 004243

1. PLACE OF DEATH   County of Cape Breton If in City or Town Point Edward
If death occured in a hospital or institution Point Edward Hospital

3. PRINT NAME OF DECEASED Warren, Samuel

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

married

8. BIRTHPLACE Newfoundland

9. DATE OF BIRTH 3  2, 1888

10. AGE in  Years83  Months3  Days28 | hrs or mins

11. Trade or profession Fishing & Mining

12. Kind of industry Self Employed

13. Date last worked 1951       14. Total years

15. If married name of spouse Mrs. Susanna Warren

16. NAME of Father Henry Warren

17. BIRTHPLACE Newfoundland

18. NAME of Mother Suzzana Bowes

19. BIRTHPLACE Newfoundland

20. Signature of Informant Albert Warren

      address 1 Luke Street, Glace Bay

      Relationship to deceased Son

21. Place of burial Forest Haven Gardens, Cape Breton Co., NS

      Date of burial July 3, 1971

22. Undertaker Patten's Funeral Home Ltd., Glace Bay, NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH June 30, 1971

CAUSE OF DEATH

(a) Metastatic Carcinoma to Lungs and Liver

(b) Carcinoma of Kidney

(c)

other Atherosclerosis

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496318

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