Male Death Registration: Year: 1970 number: 2302
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002302
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution Dawson Memorial Hospital
3. PRINT NAME OF DECEASED Dagley, Archibald
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
widowed
8. BIRTHPLACE Vogler's Cove
9. DATE OF BIRTH 9 12, 1896
10. AGE in Years73 Months30 Days5 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry Inshore and deepsea Fishing
13. Date last worked 1955 14. Total years 44
15. If married name of spouse Mrs. Annie Dagley (deceased)
16. NAME of Father Amos Dagley
17. BIRTHPLACE Crousetown
18. NAME of Mother Amelia Lutz
19. BIRTHPLACE Vogler's Cove
20. Signature of Informant Hugh Dagley
address Voglers Cove
Relationship to deceased son
21. Place of burial Voglers Cove
Date of burial March 19, 1970
22. Undertaker Stan N. Wamback, Bridgewater
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 17, 1970
CAUSE OF DEATH
(a) Broncho pneumonia
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487615
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