Male Death Registration: Year: 1970 number: 4134
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004134
1. PLACE OF DEATH County of Cape If in City or Town Glace Bay
If death occured in a hospital or institution St. John School
3. PRINT NAME OF DECEASED O'Connell, Michael
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH , 1912
10. AGE in Years58 Months Days | hrs or mins
11. Trade or profession Janitor
12. Kind of industry St Johns Parish
13. Date last worked May, 1970 14. Total years 15
15. If married name of spouse Elizabeth Gouthro
16. NAME of Father Thomas O'Connell
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Boland
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Dan H MacDonald
address Eight Street, Glace Bay
Relationship to deceased Brother-in-law
21. Place of burial St Johns Cemetery, Glace Bay
Date of burial May 22 1970
22. Undertaker Curry's Funeral Home, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 19, 1970
CAUSE OF DEATH
(a) 3rd degree burns and suffocation
(b)
(c)
other Accident - school furnace room fire
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489443
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