Male Death Registration: Year: 1971 number: 5241
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005241
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St. Rita Hospital
3. PRINT NAME OF DECEASED Power, John William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 6 24, 1889
10. AGE in Years82 Months2 Days | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Catherine
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mr. Sidney Power
address 27 Matilda St., Sydney, NS
Relationship to deceased Son
21. Place of burial Resurrection Cemetery, Sydney Forks, NS
Date of burial Aug 27, 1971
22. Undertaker T. W. Curry Ltd., Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 24, 1971
CAUSE OF DEATH
(a) Cerebrovascular Accident Congestive Heart Failure
(b) Bronchopneumonia
(c)
other Arterial Heart Disease
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497315
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