Male Death Registration: Year: 1971 number: 5734
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005734
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution 49 Dorchester St
3. PRINT NAME OF DECEASED Brown, William Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Glace Bay
9. DATE OF BIRTH 7 5, 1912
10. AGE in Years59 Months2 Days11 | hrs or mins
11. Trade or profession Dom Coal Co.
12. Kind of industry Coal Mining
13. Date last worked 14. Total years 30
15. If married name of spouse Louise M. Les.
16. NAME of Father Joseph Brown
17. BIRTHPLACE Newfoundland
18. NAME of Mother Charlotte Hart
19. BIRTHPLACE Newfoundland
20. Signature of Informant Bill Brown
address 49 Dorchester St. Glace Bay NS
Relationship to deceased Son
21. Place of burial St. Anthony's Cem. Glace Bay NS
Date of burial Spet 18, 1971
22. Undertaker Curry's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 16, 1971
CAUSE OF DEATH
(a)
(b)
(c)
other Respiratory Failure
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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