Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Fred Cook death at New Waterford, Cape Breton County on November 9, 1971
Male Death Registration: Year: 1971 number: 6591
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006591
1. PLACE OF DEATH County of Cape Breton If in City or Town New Waterford
3. PRINT NAME OF DECEASED Cook, Fred
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE England
9. DATE OF BIRTH 12 1, 1909
10. AGE in Years61 Months11 Days8 | hrs or mins
11. Trade or profession Coal Miner
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Florence Hulme
16. NAME of Father Walter Cook
17. BIRTHPLACE England
18. NAME of Mother Mary Jackson
19. BIRTHPLACE England
20. Signature of Informant Mrs. Fred Cook
address 17 Gibbon St., New Waterford, NS
Relationship to deceased Wife
21. Place of burial Union Grove Cemetery, Scotchtown, NS
Date of burial November 11, 1971
22. Undertaker V.J. McGillivray Funeral Homes Ltd., New Waterford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 9, 1971
CAUSE OF DEATH
(a) Ca of lung with metastasis
(b)
(c)
other
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