Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
James Vincent King death at Glace Bay, Cape Breton County on September 17, 1971
Male Death Registration: Year: 1971 number: 5605
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005605
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution St. Johns Hospital
3. PRINT NAME OF DECEASED King, James Vincent
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Grace Bay
9. DATE OF BIRTH 1 15, 1970
10. AGE in Years1 Months3 Days2 | hrs or mins
11. Trade or profession Child
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father James King
17. BIRTHPLACE Grace Bay
18. NAME of Mother Deborah Paulis Petrie
19. BIRTHPLACE Grace Bay
20. Signature of Informant James King
address 165th Street, Grace Bay, C.B
Relationship to deceased Father
21. Place of burial St. Johns Cemetery
Date of burial September 19, 1971
22. Undertaker V.J. McGillivray Funeral Holmes Limited. 16 Reserve St, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 17, 1971
CAUSE OF DEATH
(a) Fractured Skull
(b) Compression by automobile
(c)
other
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