Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Felix Joseph Sampson death at Sydney, Cape Breton County on December 30, 1971
Male Death Registration: Year: 1971 number: 7531
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007531
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St. Rita's Hospital
3. PRINT NAME OF DECEASED Sampson, Felix Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
White
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia, Canadian
9. DATE OF BIRTH 4 12, 1902
10. AGE in Years69 Months8 Days18 | hrs or mins
11. Trade or profession Auto Mechanic
12. Kind of industry Auto Garage Owner
13. Date last worked 2 years 14. Total years 31 years
15. If married name of spouse Lillian
16. NAME of Father Felix Sampson
17. BIRTHPLACE Nova Scotia Canada
18. NAME of Mother Melina Landry
19. BIRTHPLACE Nova Scotia Canada
20. Signature of Informant Mrs. Jane Landry
address Louisdale, Rich. Co.
Relationship to deceased Daughter
21. Place of burial St. Louis Cemetery, Louisdale N.S.
Date of burial January 2 1972
22. Undertaker Charles H. Boudreau Funeral Home Ltd., Arichat
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 30, 1971
CAUSE OF DEATH
(a) Coronary thrombosis? Pulmonary embolisms?
(b) Diabetes mellitus
(c) Diabetic neuropathy
other Peripheral atherosclerosis and gangrene left foot
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