Male Death Registration: Year: 1971 number: 4390
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004390
1. PLACE OF DEATH County of Cape If in City or Town Glace Bay
If death occured in a hospital or institution St Josephs Hospital
3. PRINT NAME OF DECEASED Gracie, James Leo
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Glace Bay
9. DATE OF BIRTH 12 10, 1892
10. AGE in Years78 Months8 Days22 | hrs or mins
11. Trade or profession Dominion Coal Co.
12. Kind of industry Pensioned
13. Date last worked 1958 14. Total years 40 yrs
15. If married name of spouse Christina Jane Briand
16. NAME of Father James Gracie
17. BIRTHPLACE L'Ardoise, NS
18. NAME of Mother Helen MacDonald
19. BIRTHPLACE Glace Bay, NS
20. Signature of Informant J.L. Gracie
address West Arichat, Rich. Co., NS
Relationship to deceased Son
21. Place of burial St John's, Glace Bay, NS
Date of burial July 5, 1971
22. Undertaker V.G. McGillivray Funeral Homes Limited, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 2, 1971
CAUSE OF DEATH
(a) Chronis Renal Failure
(b) Pyelonephritis
(c) Asthma, Gout
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496465
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