Male Death Registration: Year: 1971 number: 5647
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005647
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
3. PRINT NAME OF DECEASED Rideout, Samuel J.
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 6 17, 1909
10. AGE in Years62 Months2 Days14 | hrs or mins
11. Trade or profession Security Guard
12. Kind of industry Paper Co.
13. Date last worked August 20, 1971 14. Total years 15
15. If married name of spouse Kathleen
16. NAME of Father Isaac Rideout
17. BIRTHPLACE Newfoundland
18. NAME of Mother O'Hanrahan
19. BIRTHPLACE Newfoundland
20. Signature of Informant Mrs. Al Fraser
address Fraser's Mountain
Relationship to deceased Daughter
21. Place of burial Liverpool
Date of burial September 3, 1971
22. Undertaker Ross Funeral Homes, New Glasgow
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 31, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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