Male Death Registration: Year: 1971 number: 5475
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005475
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Jail
3. PRINT NAME OF DECEASED Collins, Angus
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
7. Single, Married
8. BIRTHPLACE Hallowell, Ontario
9. DATE OF BIRTH 8 12, 1912
10. AGE in Years59 Months Days19 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Above information was on his person
address
Relationship to deceased
21. Place of burial Resurrection Cemetery, Sydney Forks, Cape Breton Co., NS
Date of burial Sept 8, 1971
22. Undertaker T. W. Curry Limited., Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 31, 1971
CAUSE OF DEATH
(a) Acute Alcoholic Intoxication
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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