Male Death Registration: Year: 1971 number: 6286
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006286
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Aberdeen Hospital, New Glasgow
3. PRINT NAME OF DECEASED Avery, Stephen Louis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Larry's River
9. DATE OF BIRTH 10 31, 1900
10. AGE in Years70 Months11 Days14 | hrs or mins
11. Trade or profession Watchman
12. Kind of industry Maritime Steel
13. Date last worked 14. Total years
15. If married name of spouse Jennie Mannette
16. NAME of Father Patrick Joseph Avery
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jane Pelerine
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Garfield Vashele?
address 157 Munroe Ave, New Glasgow, NS
Relationship to deceased Daughter
21. Place of burial Larry's River, NS
Date of burial October 17, 1971
22. Undertaker R.H. Porter Funeral Homes Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 14, 1971
CAUSE OF DEATH
(a) pneumonia
(b) fibrosis lungs
(c)
other asthma
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498359
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