Male Death Registration: Year: 1971 number: 7720
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007720
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
3. PRINT NAME OF DECEASED Brushett, Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 9 16, 1899
10. AGE in Years72 Months2 Days28 | hrs or mins
11. Trade or profession Ret'd Coal Miner
12. Kind of industry Dom. Coal Co.
13. Date last worked 1962 14. Total years 30
15. If married name of spouse Mrs. Florence Brushett
16. NAME of Father William Brushett
17. BIRTHPLACE Newfoundland
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Alex Brushett
address 693 Arthur St., Sterling, Glace Bay
Relationship to deceased son
21. Place of burial Forest Haven, Cape Breton Co., NS
Date of burial Dec. 17, 1971
22. Undertaker Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 14, 1971
CAUSE OF DEATH
(a) Tuberculosilicosis
(b)
(c)
other Benign Hypertension
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499792
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