Male Death Registration: Year: 1971 number: 5234
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005234
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 Haley, Patrick
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 6, 1914
10. AGE in Years57 Months4 Days5 | hrs or mins
11. Trade or profession Devco
12. Kind of industry
13. Date last worked 1969 14. Total years 30 yrs
15. If married name of spouse Mary Bates
16. NAME of Father Thomas Haley
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Ann Penbrook
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Jack Haley
address 6 Crescent Drive Glace Bay
Relationship to deceased son
21. Place of burial St Ann's Cemetery, Glace Bay
Date of burial July 14,1971
22. Undertaker Curry's Funeral Home, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 11, 1971
CAUSE OF DEATH
(a) Coronary Thrombosis
(b) Coronary Occlusion
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497308
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