Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Curtis Roy Cook death at Wolfville, Kings County on October 3, 1971
Male Death Registration: Year: 1971 number: 5929
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005929
1. PLACE OF DEATH County of Kings If in City or Town Wolfville
If death occured in a hospital or institution Wolfville Nursing home
3. PRINT NAME OF DECEASED Cook, Curtis Roy
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE North Range
9. DATE OF BIRTH 11 14, 1899
10. AGE in Years71 Months10 Days19 | hrs or mins
11. Trade or profession retired
12. Kind of industry Dominion Atlantic Railroad - Assistant Road Master
13. Date last worked 1960 14. Total years 43 years
15. If married name of spouse Meda Marshall
16. NAME of Father Bickford Cook
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annie Elizabeth Haight
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Meda Cook
address Digby Road, NS
Relationship to deceased wife
21. Place of burial North Range, NS
Date of burial October 5, 1971
22. Undertaker Jayne Funeral Home Digby, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 3, 1971
CAUSE OF DEATH
(a) penumonia
(b) carcinoma of lung
(c)
other metastases to brain
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