Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Alex Daisley death at Sydney, Cape Breton County on August 27, 1970
Male Death Registration: Year: 1970 number: 5088
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005088
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution St. Rita's Hospital
3. PRINT NAME OF DECEASED Daisley, John Alex
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 12, 1919
10. AGE in Years51 Months1 Days15 | hrs or mins
11. Trade or profession Labourer
12. Kind of industry
13. Date last worked 1961 14. Total years 22
15. If married name of spouse Hattie Dixon
16. NAME of Father David James Daisley
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annie MacDonald
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. John C. Dixon
address Dingwall
Relationship to deceased Sister-in-law
21. Place of burial St. Joseph's Cemetery, Dingwall
Date of burial August 30, 1970
22. Undertaker Fillmore & Whitman Funeral Home Ltd. Sydney Mines
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 27, 1970
CAUSE OF DEATH
(a) Bronchopneumonia
(b)
(c)
other
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