Male Death Registration: Year: 1970 number: 6115
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006115
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Dillman, John Seymore
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Enfield
9. DATE OF BIRTH 2 14, 1909
10. AGE in Years61 Months8 Days6 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 1969 14. Total years
15. If married name of spouse Shirley Dillman
16. NAME of Father John Dillman
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ida Ogilive
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. John Dillman
address RR#1 Oldham, Halifax Co.
Relationship to deceased Wife
21. Place of burial Belnan Cemetery, Hants
Date of burial Oct. 22, 1970
22. Undertaker Withrow - MacMillan, Elmsdale
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 20, 1970
CAUSE OF DEATH
(a) Carcinoma of Lung
(b) Secondary Metastasis
(c) To Spine
other Myocardial Infarction
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491422
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