Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

James Peck death at Nyanza, Victoria County on October 10, 1971

Male Death Registration: Year: 1971 number: 6056

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 006056

1. PLACE OF DEATH   County of Victoria If in City or Town Nyanza
If death occured in a hospital or institution Highway Accident (transcanada highway)

3. PRINT NAME OF DECEASED Peck, James

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

Mic Mac

7. Single, Married

married

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 4  16, 1907

10. AGE in  Years64  Months5  Days24 | hrs or mins

11. Trade or profession Laborer

12. Kind of industry

13. Date last worked Oct 10/71       14. Total years

15. If married name of spouse Elizabeth Peck

16. NAME of Father Peter Peck

17. BIRTHPLACE Nova Scotia

18. NAME of Mother Mary  Paul

19. BIRTHPLACE Nova Scotia

20. Signature of Informant Elizabeth Peck

      address Nyanza

      Relationship to deceased Wife

21. Place of burial Parish cemetery, Nyanza

      Date of burial October 14, 1971

22. Undertaker B. MacAskills, Baddeck

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH October 10, 1971

CAUSE OF DEATH

(a) Broken neck due to car - pedestrian accident

(b)

(c)

other

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498129

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