Male Death Registration: Year: 1971 number: 5148
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005148
1. PLACE OF DEATH County of Hants If in City or Town Windsor
If death occured in a hospital or institution Payzant Memorial Hospital, Windsor, Hants Co., NS
3. PRINT NAME OF DECEASED Cox, Richard Sterling
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 20, 1888
10. AGE in Years82 Months10 Days | hrs or mins
11. Trade or profession Bulldozer Operator
12. Kind of industry Quarry & Woods
13. Date last worked 1954 14. Total years 15
15. If married name of spouse Effie (Burgess) Cox
16. NAME of Father Robert Cox
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Olivia MacLaren
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Carl Cox
address Walton, Hants Co.
Relationship to deceased Son
21. Place of burial Walton, NS
Date of burial Aug 23, 1971
22. Undertaker J. Wilson Allen, Summerville, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 20, 1971
CAUSE OF DEATH
(a) Coronary Artery Occlusion with Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497222
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