Male Death Registration: Year: 1971 number: 5120
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005120
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution St. Joseph's Hospital
3. PRINT NAME OF DECEASED Munro, Charles Richard
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Stellarton, Pictou County
9. DATE OF BIRTH 2 22, 1882
10. AGE in Years89 Months6 Days2 | hrs or mins
11. Trade or profession Dominion Coal Co.
12. Kind of industry Retired
13. Date last worked 1957 14. Total years 64
15. If married name of spouse Emma Jane Robertson (deceased)
16. NAME of Father John Munro
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Christie
19. BIRTHPLACE
20. Signature of Informant Malcolm MacQueen
address 4 Union Street, Dominion, NS
Relationship to deceased Son in Law
21. Place of burial Ocean Ave. Dominion, NS
Date of burial August 26, 1971
22. Undertaker V. J. McGillivray Funeral Homes Ltd., Glace Bay, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 24, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Congestive Heart Failure
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497194
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