Male Death Registration: Year: 1970 number: 6795
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006795
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED O'Shaughnessy, Thomas George
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 6 9, 1886
10. AGE in Years84 Months5 Days14 | hrs or mins
11. Trade or profession Ret'd Longshoreman
12. Kind of industry
13. Date last worked 1965 14. Total years 40
15. If married name of spouse Jessie Smiley
16. NAME of Father Thomas O'Shaughnessy
17. BIRTHPLACE Ireland
18. NAME of Mother Florence Munroe
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Gerald O'Shaughnessy
address 4 Lynwood Drive, Rockingham, Halifax
Relationship to deceased Son
21. Place of burial Camp Hill Cemetery, Halifax
Date of burial Nov 25, 1970
22. Undertaker Halifax Funeral Home Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 23, 1970
CAUSE OF DEATH
(a) Myocarditis with failure
(b) Arterosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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