Male Death Registration: Year: 1970 number: 4447
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004447
1. PLACE OF DEATH County of Halifax If in City or Town Middle Musquodobit
If death occured in a hospital or institution Musquodoboit Hospital
3. PRINT NAME OF DECEASED Dillman, Carl Dwight
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 5 22, 1900
10. AGE in Years69 Months11 Days26 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Labourer
13. Date last worked 1960 14. Total years Life
15. If married name of spouse Julia Dillman
16. NAME of Father Isaac Dillman
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Lillian Keilan
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Carl Dillman
address Middle Musquodoboit
Relationship to deceased wife
21. Place of burial Middle Musquodoboit
Date of burial May 21, 1970
22. Undertaker Ettinger Funeral Service Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 18, 1970
CAUSE OF DEATH
(a) Cancer
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489756
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