Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Norman Peter Dane death at Yarmouth, Yarmouth County on March 12, 1970
Male Death Registration: Year: 1970 number: 2333
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002333
1. PLACE OF DEATH County of Yarmouth If in City or Town Yarmouth
If death occured in a hospital or institution Yarmouth Hospital
3. PRINT NAME OF DECEASED Dane, Norman Peter
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Cape Sable Island
9. DATE OF BIRTH 4 30, 1892
10. AGE in Years77 Months10 Days12 | hrs or mins
11. Trade or profession retired
12. Kind of industry fisherman
13. Date last worked 14. Total years
15. If married name of spouse Maria Dane
16. NAME of Father William Dane
17. BIRTHPLACE Cape Sable Island
18. NAME of Mother Matilda Penney
19. BIRTHPLACE Cape Sable Island
20. Signature of Informant Mrs. Bowman Earle
address Pleasant Lake, Yar. Co
Relationship to deceased Daughter
21. Place of burial Arcadia
Date of burial March 15, 1970
22. Undertaker Sweenys Funeral Home, Yarmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 12, 1970
CAUSE OF DEATH
(a)
(b) Cancer of Bladder
(c) ASHD
other
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