Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mark Ralph Daniels death at Halifax, Halifax County on May 19, 1970
Male Death Registration: Year: 1970 number: 3415
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003415
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Daniels, Mark Ralph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 4 28, 1970
10. AGE in Years Months Days21 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Daniel Daniels
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Sharon Horne
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr Daniel Daniels
address Cole Harbour RR#1
Relationship to deceased Father
21. Place of burial Dartmouth Memorial Gardens
Date of burial May 20, 1970
22. Undertaker A.L. Mattatall Funeral Service Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 19, 1970
CAUSE OF DEATH
(a) Congenitial Heart Disease
(b) Acute pulmonary edema
(c)
other
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