Male Death Registration: Year: 1970 number: 6993
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006993
1. PLACE OF DEATH County of Guysborough If in City or Town Mulgrave
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED O'Neil, Samual Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish & Irish
7. Single, Married
married
8. BIRTHPLACE Grosvenor
9. DATE OF BIRTH 7 1, 1873
10. AGE in Years97 Months3 Days25 | hrs or mins
11. Trade or profession Retired
12. Kind of industry CNR
13. Date last worked 1938 14. Total years 35
15. If married name of spouse Catherine O'Neil
16. NAME of Father Samual O'Neil
17. BIRTHPLACE Grosvenor
18. NAME of Mother Mary Fraser
19. BIRTHPLACE Monastery
20. Signature of Informant Eugene O'Neil
address Mulgrave
Relationship to deceased Son
21. Place of burial Mulgrave
Date of burial Oct 26, 1970
22. Undertaker Rod MacDonald Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 26, 1970
CAUSE OF DEATH
(a) Uremia
(b) Generalized arterio sclerotic disease
(c)
other Cancer of mouth with metastasis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492300
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