Male Death Registration: Year: 1971 number: 4531
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004531
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution Glace Bay General Hospital
3. PRINT NAME OF DECEASED Johnstone, John Arthur Clinton
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Glace Bay
9. DATE OF BIRTH 4 23, 1890
10. AGE in Years81 Months2 Days25 | hrs or mins
11. Trade or profession draftsman
12. Kind of industry Dominion Coal Company
13. Date last worked 1962 14. Total years
15. If married name of spouse Alice Merrill
16. NAME of Father Thomas Johnstone
17. BIRTHPLACE Scotland
18. NAME of Mother Catherine McAulay
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Gordon M Johnstone
address 57 Raymorr Dr. Dartmouth, NS
Relationship to deceased son
21. Place of burial Black Brook Cemetery, Morien, NS
Date of burial July 20, 1971
22. Undertaker V J McGillivray Funeral Homes Limited, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 18, 1971
CAUSE OF DEATH
(a) Coronary Insufficiency
(b) Congestive Heart Failure
(c) Aneurysm of Abdominal Aorta
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496606
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