Male Death Registration: Year: 1971 number: 4639
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004639
1. PLACE OF DEATH County of Cape Breton If in City or Town Birch Cove
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Parsons, Samuel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 8 8, 1890
10. AGE in Years80 Months11 Days1 | hrs or mins
11. Trade or profession Retired Coal Miner
12. Kind of industry Dominion Coal Co.
13. Date last worked 1949 14. Total years 50 yrs
15. If married name of spouse Fannie Parsons
16. NAME of Father Charles Parsons
17. BIRTHPLACE Newfoundland
18. NAME of Mother Sarah Somers
19. BIRTHPLACE Newfoundland
20. Signature of Informant James Parsons
address 149 Pitt Ave, Scarborough, Ontario
Relationship to deceased Son
21. Place of burial Greenwood Cemetery, Glace Bay, NS
Date of burial July 11, 1971
22. Undertaker Patten's Funeral Home Ltd, Glace Bay, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 9, 1971
CAUSE OF DEATH
(a) Acute Coronary Thrombosis
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496714
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