Male Death Registration: Year: 1971 number: 4468
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004468
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Penney, Eugene Mitchell
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Kelley's Cove
9. DATE OF BIRTH 12 11, 1922
10. AGE in Years48 Months6 Days28 | hrs or mins
11. Trade or profession Worker
12. Kind of industry Fishing Industry
13. Date last worked 14. Total years
15. If married name of spouse Dorothy Penney
16. NAME of Father Albert Penney
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Millie MacKinnon
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Albert Penney
address Rockville, Yar. Co., NS
Relationship to deceased Father
21. Place of burial Chebogue, Yar. Co., NS
Date of burial July 11, 1971
22. Undertaker Sweeny's Funeral Home, Yar., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 9, 1971
CAUSE OF DEATH
(a) Bilateral Broncho-pneumonia
(b)
(c)
other Multiple Sclerosis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496543
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