Male Death Registration: Year: 1971 number: 5023
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005023
1. PLACE OF DEATH County of Colchester If in City or Town Tatamagouche
If death occured in a hospital or institution Lillian Fraser Hospital
3. PRINT NAME OF DECEASED Sutherland, John Edwin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Brooklyn, NY, USA
9. DATE OF BIRTH 12 1, 1901
10. AGE in Years69 Months9 Days13 | hrs or mins
11. Trade or profession Retired Merchant
12. Kind of industry General Merchant
13. Date last worked Nov 1967 14. Total years 42 yrs
15. If married name of spouse Myrtle MacLean Sutherland
16. NAME of Father John George Sutherland
17. BIRTHPLACE West River Station, Nova Scotia
18. NAME of Mother Elizabeth MacLean
19. BIRTHPLACE Heodeville, Pictou Co, NS
20. Signature of Informant Muriel J MacDonald
address 9 Fulwell Cres, Downsville, Ont
Relationship to deceased Daughter
21. Place of burial River John, NS
Date of burial August 16, 1971
22. Undertaker MacLeod's Funeral Service, River John, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 14, 1971
CAUSE OF DEATH
(a) Coronary Occlusion
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497097
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