Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Thomas Alexander Pendergast death at Sydney, Cape Breton County on December 16, 1971
Male Death Registration: Year: 1971 number: 7504
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007504
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution City Hospital, Sydney
3. PRINT NAME OF DECEASED Pendergast, Thomas Alexander
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Mill Creek, Cape Breton
9. DATE OF BIRTH 12 9, 1919
10. AGE in Years52 Months Days7 | hrs or mins
11. Trade or profession Farm Hand
12. Kind of industry farming
13. Date last worked 1965 14. Total years 25
15. If married name of spouse
16. NAME of Father Walter Pendergast
17. BIRTHPLACE Mill Creek, Cape Breton
18. NAME of Mother Catherine Chisholm
19. BIRTHPLACE Mill Creek, Cape Breton
20. Signature of Informant Leo B Pendergast
address Bras d'Or, CB
Relationship to deceased brother
21. Place of burial St Joseph's Bras d'Or
Date of burial December 19, 1971
22. Undertaker George R Francis, Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 16, 1971
CAUSE OF DEATH
(a) Terminal Broncho Pneumonia
(b) Regional Ileitis
(c) Mal absorption Syndrom
other
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