Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

John Caines death at North Sydney, Cape Breton County on July 22, 1971

Male Death Registration: Year: 1971 number: 4648

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 004648

1. PLACE OF DEATH   County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution at home

3. PRINT NAME OF DECEASED Caines, John

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

widowed

8. BIRTHPLACE Newfoundland

9. DATE OF BIRTH 9  16, 1903

10. AGE in  Years67  Months10  Days6 | hrs or mins

11. Trade or profession Pipe Fitter

12. Kind of industry Construction

13. Date last worked Apr 1971       14. Total years 25

15. If married name of spouse

16. NAME of Father Isaac Caines

17. BIRTHPLACE Newfoundland

18. NAME of Mother Jean Clark

19. BIRTHPLACE Newfoundland

20. Signature of Informant Mrs A Jesty

      address 70 King Street, N. Sydney

      Relationship to deceased

21. Place of burial Lakeside Cemetery, North Sydney, NS

      Date of burial July 24, 1971

22. Undertaker Fillmore & Whitman Funeral Home Ltd, North Sydney, NS

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH July 22, 1971

CAUSE OF DEATH

(a) Myocardial Infarction

(b) Coronary Artery Disease

(c)

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496723

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