Male Death Registration: Year: 1971 number: 6648
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006648
1. PLACE OF DEATH County of Lunenburg If in City or Town Lunenburg
If death occured in a hospital or institution Harbour View Rest Home
3. PRINT NAME OF DECEASED O'Connell, Charles Russell
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Jordan Falls, Shelburne County
9. DATE OF BIRTH 1 24, 1893
10. AGE in Years78 Months9 Days11 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry
13. Date last worked 1966 14. Total years 35 years
15. If married name of spouse Mrs. Jessie O'Connor
16. NAME of Father William O'Connor
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Georgina Robertson
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Jessie O'Connor
address Jordan Falls
Relationship to deceased wife
21. Place of burial Jordan Falls Cemetery Shelburne, N. S.
Date of burial Nov 8, 1971
22. Undertaker Stephenson's Funeral Home Shelburne, N. S.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 4, 1971
CAUSE OF DEATH
(a) CVA
(b) Congestive heart failure
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=498721
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