Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Bradford Moore death at Yarmouth, Yarmouth County on November 13, 1971
Male Death Registration: Year: 1971 number: 6668
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006668
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Moore, Charles Bradford
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Pleasant Lake, Yarmouth County
9. DATE OF BIRTH 11 14, 1885
10. AGE in Years85 Months11 Days30 | hrs or mins
11. Trade or profession retired
12. Kind of industry Farmer
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Willard Moore
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant V. Joseph M. Moore
address Moods Mill, Yarmouth Co.
Relationship to deceased Son
21. Place of burial Brooklyn, Yar. Co.
Date of burial November 16, 1971
22. Undertaker Sweeny's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 13, 1971
CAUSE OF DEATH
(a) Congestive Heart Failure
(b) hypostatic pneumonia
(c) cerebral thrombism
other
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