Male Death Registration: Year: 1971 number: 5261
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005261
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution Taylor Nursing Home
3. PRINT NAME OF DECEASED Pepin, John Vilda
4. Sex
Male
5. Citizenship
American
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE United States
9. DATE OF BIRTH 5 13, 1885
10. AGE in Years86 Months3 Days7 | hrs or mins
11. Trade or profession Laborer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Eva Jean
16. NAME of Father John Pepin
17. BIRTHPLACE Quebec
18. NAME of Mother Marie Patenaude
19. BIRTHPLACE Quebec
20. Signature of Informant Mrs. J.V. Pepin
address Middle Stewiacke
Relationship to deceased Wife
21. Place of burial Middle Stewiacke
Date of burial Aug 23, 1971
22. Undertaker Mattatall Funeral Home, Truro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 20, 1971
CAUSE OF DEATH
(a) Cerebral hemorrhage
(b) Parkinson's Disease
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497335
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