Male Death Registration: Year: 1971 number: 5782
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005782
1. PLACE OF DEATH County of Kings If in City or Town Berwick
If death occured in a hospital or institution W.K.M Hospital
3. PRINT NAME OF DECEASED Devine, Philip Edward
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Kingston
9. DATE OF BIRTH 6 20, 1912
10. AGE in Years59 Months3 Days | hrs or mins
11. Trade or profession Retired
12. Kind of industry General Merchant
13. Date last worked 1958 14. Total years 25
15. If married name of spouse Helen Moody
16. NAME of Father Matthew E. Devine M.D.
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ruby Card
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs P.E. Devine
address Kingston
Relationship to deceased Wife
21. Place of burial North Kingston
Date of burial September 22, 1971
22. Undertaker Warren T. Roop LTD. Middleton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 20, 1971
CAUSE OF DEATH
(a) Adenocarcinoma of colon
(b) Widespread metastasis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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