Male Death Registration: Year: 1971 number: 7524
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007524
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney Mines
3. PRINT NAME OF DECEASED Collins, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 2 12, 1903
10. AGE in Years68 Months10 Days15 | hrs or mins
11. Trade or profession Miner
12. Kind of industry Coal Mine
13. Date last worked September 1960 14. Total years 45 years
15. If married name of spouse
16. NAME of Father William Hayward Collins
17. BIRTHPLACE Newfoundland
18. NAME of Mother Violet Hardy
19. BIRTHPLACE Newfoundland
20. Signature of Informant William Hayward Collins
address 45 Blowers St., North Sydney, Cape Breton Co., NS
Relationship to deceased Father
21. Place of burial St. Josephs, Sydney Mines, Cape Breton Co., NS
Date of burial 30 December 1971
22. Undertaker George K. Francis, Sydney Mines, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 27, 1971
CAUSE OF DEATH
(a) Coronary Artery Disease
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499596
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