Male Death Registration: Year: 1970 number: 7099
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007099
1. PLACE OF DEATH County of Halifax If in City or Town Sheet Harbour
If death occured in a hospital or institution Eastern Shore Memorial Hospital
3. PRINT NAME OF DECEASED Daniels, Henry George
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE Halifax County
9. DATE OF BIRTH 6 15, 1876
10. AGE in Years94 Months5 Days14 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry
13. Date last worked 1945 14. Total years 62
15. If married name of spouse Sevilla
16. NAME of Father Peter Daniels
17. BIRTHPLACE France
18. NAME of Mother Amelia Andrews
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Carrie Murphy
address Murphys Cove, Halifax Co.
Relationship to deceased daughter
21. Place of burial Murphys Cove, Halifax Co
Date of burial Dec 1st, 1970
22. Undertaker Duncan S. Crowell , PO Box 14 Sheet Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 29, 1970
CAUSE OF DEATH
(a) Bronchopneumonia
(b) arteriosclerotic heart disease
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492405
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