Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jean Cossette death at Sydney, Cape Breton County on December 10, 1971
Male Death Registration: Year: 1971 number: 7704
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007704
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
3. PRINT NAME OF DECEASED Cossette, Jean
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Three Rivers, Quebec
9. DATE OF BIRTH 11 16, 1915
10. AGE in Years56 Months Days24 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Mary
16. NAME of Father Philippe Cossette
17. BIRTHPLACE Quebec
18. NAME of Mother Angeline LeBaye
19. BIRTHPLACE Quebec
20. Signature of Informant Paul Cossette
address 10 Buller St. Sydney
Relationship to deceased Son
21. Place of burial Calvary Cemetery, Sydney
Date of burial December 13, 1971
22. Undertaker T.W. Curry Limited, Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 10, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b)
(c)
other
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