Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles William Sutherland death at Amherst, Cumberland County on October 18, 1971
Male Death Registration: Year: 1971 number: 7195
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007195
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution Highland View Hospital
3. PRINT NAME OF DECEASED Sutherland, Charles William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Lynn, Colchester County
9. DATE OF BIRTH 9 8, 1887
10. AGE in Years84 Months1 Days10 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry Mixed Farming
13. Date last worked 1969 14. Total years 68 years
15. If married name of spouse
16. NAME of Father George William Sutherland
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Julia McLellan
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Gladys Sutherland
address Lowe, Five Islands, Colchester Co., NS
Relationship to deceased Sister
21. Place of burial Mapleton, Cumberland Co., NS
Date of burial 21 October 1971
22. Undertaker A. H. Brown Funeral Service Ltd., Springhill, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 18, 1971
CAUSE OF DEATH
(a) Awaiting Autopsy Report
(b)
(c)
other
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