Male Death Registration: Year: 1970 number: 5726
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005726
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital
3. PRINT NAME OF DECEASED Fillmore, Reginald Layton
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
divorced
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH ,
10. AGE in Years54 Months Days | hrs or mins
11. Trade or profession Pentioner
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Thomas Fillmore
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Irene Crossman
19. BIRTHPLACE Nova Scotia
20. Signature of Informant W.R. Crossman
address PO Box 455 Windsor
Relationship to deceased Uncle
21. Place of burial Fraserville
Date of burial September 17, 1970
22. Undertaker Smith's Funeral Home, Parrsboro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 14, 1970
CAUSE OF DEATH
(a) Cardiac Faiure
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491034
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