Male Death Registration: Year: 1971 number: 4796
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004796
1. PLACE OF DEATH County of Guysborough If in City or Town Mulgrave
If death occured in a hospital or institution Home
3. PRINT NAME OF DECEASED Decoste, James David Anthony
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Mulgrave
9. DATE OF BIRTH 7 2, 1925
10. AGE in Years45 Months11 Days21 | hrs or mins
11. Trade or profession Taxi Driver
12. Kind of industry Self
13. Date last worked June 9/71 14. Total years 25 yrs
15. If married name of spouse
16. NAME of Father Timothy DeCoste
17. BIRTHPLACE Mulgrave
18. NAME of Mother Mary Elizabeth DeCoste
19. BIRTHPLACE Linwood
20. Signature of Informant Bernard DeCoste
address Mulgrave
Relationship to deceased Brother
21. Place of burial Mulgrave
Date of burial June 23, 1971
22. Undertaker Rod MacDonald Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 23, 1971
CAUSE OF DEATH
(a) Haemorrhage
(b) Gastric Ulcer
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496871
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