Male Death Registration: Year: 1971 number: 5027
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005027
1. PLACE OF DEATH County of Cumberland If in City or Town Springhill
If death occured in a hospital or institution All Saints Springhill Hospital
3. PRINT NAME OF DECEASED Stewart, John Lavern
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 13, 1896
10. AGE in Years75 Months1 Days25 | hrs or mins
11. Trade or profession Miner
12. Kind of industry Coal Mining
13. Date last worked 1956 14. Total years 40 yrs
15. If married name of spouse Ida Stewart (deceased)
16. NAME of Father Alexander Stewart
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Floretta May Stonehouse
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Alex Stewart
address Cape Tormentine, New Brunswick
Relationship to deceased Son
21. Place of burial Springhill Junction, NS
Date of burial August 10, 1971
22. Undertaker A. H. Brown Funeral Service Ltd., Springhill, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 7, 1971
CAUSE OF DEATH
(a) Cerebrovascular Accident
(b) Hypertension
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497101
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