Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Peter Campbell Gillis death at Glace Bay, Cape County on January 25, 1970
Male Death Registration: Year: 1970 number: 2097
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002097
1. PLACE OF DEATH County of Cape If in City or Town Glace Bay
If death occured in a hospital or institution St. Joseph's Hospital
3. PRINT NAME OF DECEASED Gillis, Peter Campbell
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Glace Bay
9. DATE OF BIRTH 11 14, 1906
10. AGE in Years63 Months2 Days11 | hrs or mins
11. Trade or profession Seaboard Power
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Mary McLennan
16. NAME of Father Daniel Gillis
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary McGillivray
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Mary Gillis
address 2 Kelvin St., Glace Bay
Relationship to deceased Wife
21. Place of burial St. Anne's Cemetery, Glace Bay
Date of burial January 28, 1970
22. Undertaker V.J. McGillivray Funeral Homes Ltd., Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 25, 1970
CAUSE OF DEATH
(a) Chronic leukemia
(b)
(c)
other
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