Male Death Registration: Year: 1970 number: 6012
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006012
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Spring Garden Villa
3. PRINT NAME OF DECEASED Gillis, Donald Dan
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Cape Breton
9. DATE OF BIRTH , 1877
10. AGE in Years93 Months Days | 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 Duncan Gillis
17. BIRTHPLACE Cape Breton
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Duncan MacNeil
address 71 Catherine St. Glace Bay
Relationship to deceased Nephew
21. Place of burial St. Mary's Cemetery, East Bay
Date of burial October 6, 1970
22. Undertaker T.W. Curry Ltd. Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 4, 1970
CAUSE OF DEATH
(a) Arterioscleratic Cardiac Disease
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491319
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