Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
James Sylvanus Keith death at New Glasgow, Pictou County on October 24, 1971
Male Death Registration: Year: 1971 number: 6495
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006495
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Town Jail
3. PRINT NAME OF DECEASED Keith, James Sylvanus
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 27, 1918
10. AGE in Years53 Months2 Days27 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Fitter
13. Date last worked 1960 14. Total years 22 years
15. If married name of spouse
16. NAME of Father Claude Keith
17. BIRTHPLACE NS
18. NAME of Mother Minnie Riley
19. BIRTHPLACE NS
20. Signature of Informant Mrs. W. E. Laurence
address Roderick Street, New Glasgow, Pictou Co., NS
Relationship to deceased Aunt
21. Place of burial Brookside, Pictou Co., NS
Date of burial 25 October 1971
22. Undertaker Angus, New Glasgow, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 24, 1971
CAUSE OF DEATH
(a) Acute Pancreatitis
(b)
(c)
other
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