Male Death Registration: Year: 1971 number: 5738
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005738
1. PLACE OF DEATH County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution St. Elizabeth Hospital
3. PRINT NAME OF DECEASED Devoe, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 9 24, 1971
10. AGE in Years Months Days1 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother Brenda Devoe
19. BIRTHPLACE Nova Scotia
20. Signature of Informant ? Walsh
address 44 Archibald Ave., North Sydney
Relationship to deceased
21. Place of burial Holy Cross, North Sydney
Date of burial September 29, 1971
22. Undertaker W.J. Dooley Funeral Service Ltd., North Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 25, 1971
CAUSE OF DEATH
(a) Hyaline Membrane disease
(b) Prematurity
(c) Weight 1 lb 8 oz
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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