Male Death Registration: Year: 1971 number: 4938
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004938
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Cormier, Phillip Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Cape Bauld, New Brunswick
9. DATE OF BIRTH 1 6, 1905
10. AGE in Years66 Months6 Days25 | hrs or mins
11. Trade or profession Carpenters
12. Kind of industry
13. Date last worked about 15 years ago 14. Total years Life
15. If married name of spouse Edna M Cormier
16. NAME of Father James Cormier
17. BIRTHPLACE Westmoreland Co., NB
18. NAME of Mother Olive Brine
19. BIRTHPLACE Westmoreland Co., NB
20. Signature of Informant Joseph Gould
address Middle Sackville, NB
Relationship to deceased Son-in-law
21. Place of burial St Charles Cemetery, Amherst, NS
Date of burial August 3, 1971
22. Undertaker Furlong's Funeral Home Ltd, Amherst, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 31, 1971
CAUSE OF DEATH
(a) Cerebral vascular hemorrhage
(b) Arteriosclerosis
(c)
other Bladder disease Previous hemiplegia
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497013
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