Male Death Registration: Year: 1971 number: 7041
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007041
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution General Hospital
3. PRINT NAME OF DECEASED Brown, James Ruben
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 9 8, 1888
10. AGE in Years83 Months2 Days27 | hrs or mins
11. Trade or profession Retired Miner
12. Kind of industry Dominion Coal Co.
13. Date last worked 1955 14. Total years
15. If married name of spouse Lillian Dawe (Deceased 1964)
16. NAME of Father Brown
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant ? Brown
address 700 Sydney St, Glace Bay, NS
Relationship to deceased son
21. Place of burial Greenwood Cemetery, Glace Bay, NS
Date of burial December 8, 1971
22. Undertaker V. J. McGillivray Funeral Homes Ltd., 16 Reserve St, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 5, 1971
CAUSE OF DEATH
(a)
(b) urenia
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499113
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