Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Matthew Fraser death at Truro, Colchester County on August 20, 1971
Male Death Registration: Year: 1971 number: 5134
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005134
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution Colchester Hospital
3. PRINT NAME OF DECEASED Fraser, Charles Matthew
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 2 28, 1904
10. AGE in Years67 Months5 Days23 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Elsie
16. NAME of Father John Fraser
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Bessie Forbes
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Miss Vida Fraser
address 26 Hingley Ave., Truro, NS
Relationship to deceased Sister
21. Place of burial Valley, Col. Co., NS
Date of burial Aug 22, 1971
22. Undertaker Mattatall Funeral Home, Truro,
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 20, 1971
CAUSE OF DEATH
(a) Carcinoma of Bronchus
(b)
(c)
other
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