Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Walter Earl Peck death at Sydney Mines, Cape Breton County on September 12, 1971
Male Death Registration: Year: 1971 number: 5483
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005483
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney Mines
If death occured in a hospital or institution Harbour View Hospital
3. PRINT NAME OF DECEASED Peck, Walter Earl
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 12 7, 1915
10. AGE in Years55 Months9 Days5 | hrs or mins
11. Trade or profession Miner
12. Kind of industry Coal Mine
13. Date last worked Nov 3/69 14. Total years 28 yrs
15. If married name of spouse
16. NAME of Father William Henry Peck
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Christena McNeil
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Samuel Peck
address Little Pond, NS
Relationship to deceased Brother
21. Place of burial St. Josephs, Bras d'Or
Date of burial Sept 15, 1971
22. Undertaker George R. Frances, Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 12, 1971
CAUSE OF DEATH
(a) Massive Pulmonary Infarction
(b) Severe Mental Depression
(c)
other
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