Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Peter Costey death at Glace Bay, Cape Breton County on December 23, 1971
Male Death Registration: Year: 1971 number: 7514
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007514
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 Costey, Peter
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Romanian
7. Single, Married
married
8. BIRTHPLACE Romania
9. DATE OF BIRTH 1 6, 1902
10. AGE in Years67 Months6 Days17 | hrs or mins
11. Trade or profession Dominion Coal Co. Ltd.
12. Kind of industry Miner Pensioned
13. Date last worked 14. Total years
15. If married name of spouse Hilda Henry
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Peter Costey
address 280 Sommon Ave. Apt 309, Toronto, Ontario
Relationship to deceased Son
21. Place of burial Fernhill Cemetery, St. John, New Brunswick
Date of burial December 29, 1971
22. Undertaker V.J. McGillivray Funeral Homes Limited, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 23, 1971
CAUSE OF DEATH
(a) Emphemema
(b) Chronic heart disease
(c)
other
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