Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Jeremiah Hogan death at New Waterford, Cape Breton County on October 4, 1971

Male Death Registration: Year: 1971 number: 6102

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 006102

1. PLACE OF DEATH   County of Cape Breton If in City or Town New Waterford
If death occured in a hospital or institution New Waterford Hospital

3. PRINT NAME OF DECEASED Hogan, Jeremiah

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

Irish

7. Single, Married

single

8. BIRTHPLACE New Waterford

9. DATE OF BIRTH 10  4, 1971

10. AGE in  Years  Months  Days | 4 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 James Hogan

17. BIRTHPLACE New Waterford

18. NAME of Mother Pauline Pettigrew

19. BIRTHPLACE Sydney

20. Signature of Informant James Hogan

      address 21 Bay St. New Waterford

      Relationship to deceased Father

21. Place of burial St. Agnes Cemetery, New Waterford

      Date of burial October 5, 1971

22. Undertaker V.J. McGillivray Funeral Homes Ltd. New Waterford

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH October 4, 1971

CAUSE OF DEATH

(a) Hydlgen membrane disease

(b) Stress syndrome

(c) Relative placentae insuffiency

other Abruptia placenta

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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498175

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