Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Warrick Simmons death at Glace Bay, Cape Breton County on November 27, 1971
Male Death Registration: Year: 1971 number: 6891
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006891
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution St. Joseph's Hospital
3. PRINT NAME OF DECEASED Simmons, Warrick
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Glace Bay
9. DATE OF BIRTH 11 3, 1925
10. AGE in Years46 Months Days24 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry Town of Glace Bay
13. Date last worked 1969 14. Total years 1 year
15. If married name of spouse Lila Emily Simmons
16. NAME of Father George Simmons
17. BIRTHPLACE Newfoundland
18. NAME of Mother Marcell Mudford
19. BIRTHPLACE Newfoundland
20. Signature of Informant Mrs. Warrick Simmons
address 124 Sixth Street, New Aberdeen, Glace Bay, NS
Relationship to deceased Wife
21. Place of burial Greenwood cemetery, Glace Bay, Cape Breton Co., NS
Date of burial 30 November 1971
22. Undertaker Patten's Funeral Home Ltd., 71 Union Street, Glace Bay, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 27, 1971
CAUSE OF DEATH
(a) Chronic Nephritis
(b)
(c)
other
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