Male Death Registration: Year: 1971 number: 4423
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004423
1. PLACE OF DEATH County of Cumberland If in City or Town Springhill
If death occured in a hospital or institution All Saints Springhill Hospital
3. PRINT NAME OF DECEASED Scott, John Martin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Springhill
9. DATE OF BIRTH 7 22, 1910
10. AGE in Years60 Months11 Days16 | hrs or mins
11. Trade or profession Miner
12. Kind of industry Coal Mining
13. Date last worked 1958 14. Total years 17 yrs
15. If married name of spouse Cora Jane (Hunter) Scott
16. NAME of Father Peter Scott
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Juklia Kay
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Cora J Scott
address Clairmont, Cumb. Co., Nova Scotia
Relationship to deceased Wife
21. Place of burial Leamington, Cumb. Co., NS
Date of burial July 11th, 1971
22. Undertaker A.H. Brown Funeral Service Ltd. Springhill, Nova Scotia
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 8, 1971
CAUSE OF DEATH
(a) Cerebral Vascular Accident
(b) Hypertension
(c) Rheumatoid Arthritis
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496498
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