Male Death Registration: Year: 1971 number: 4736
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004736
1. PLACE OF DEATH County of Cape If in City or Town New Waterford
If death occured in a hospital or institution Emerald St. No. 50
3. PRINT NAME OF DECEASED Cameron, George
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE New Waterford
9. DATE OF BIRTH 9 6, 1966
10. AGE in Years4 Months9 Days7 | hrs or mins
11. Trade or profession Child
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Wildred Cameron
17. BIRTHPLACE New Waterford
18. NAME of Mother Freda Meery
19. BIRTHPLACE New Waterford
20. Signature of Informant Wilfred Cameron
address 50 Emerald St. New Waterford
Relationship to deceased Father
21. Place of burial St. Michael Cemetery, Scotchtown
Date of burial June 15, 1971
22. Undertaker V. J. McGillivray Funeral Homes Limited, New Waterford, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 13, 1971
CAUSE OF DEATH
(a) Burn
(b) Smoke Inhalation
(c)
other Accidental burns
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496811
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