Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Arthur Copan death at New Waterford, Cape Breton County on September 9, 1971
Male Death Registration: Year: 1971 number: 5594
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005594
1. PLACE OF DEATH County of Cape Breton If in City or Town New Waterford
If death occured in a hospital or institution Consolidated Hospital
3. PRINT NAME OF DECEASED Copan, Arthur
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE France
9. DATE OF BIRTH 6 11, 1893
10. AGE in Years78 Months2 Days29 | hrs or 2 mins
11. Trade or profession Coal Miner
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Bertha MacKenzie
16. NAME of Father Henry Copan
17. BIRTHPLACE France
18. NAME of Mother Mary Copan
19. BIRTHPLACE France
20. Signature of Informant Mrs. Peter Keuch
address 213 Mahon Street, New Waterford, Cape Breton Co., NS
Relationship to deceased Daughter
21. Place of burial Union Grove Cemetery, Scotchtown, Cape Breton Co., NS
Date of burial 12 September 1971
22. Undertaker V. L. McGillivray Funeral Homes Ltd., New Waterford, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 9, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Arteriosclerotic Heart Disease
(c) Generalized Degeneration
other Hypertension, Bronchitis & _______?
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