Male Death Registration: Year: 1971 number: 1106
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001106
1. PLACE OF DEATH County of Colchester If in City or Town Truro
If death occured in a hospital or institution Colchester Hospital
3. PRINT NAME OF DECEASED McMullen, Donevan Reid
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 7, 1910
10. AGE in Years60 Months9 Days28 | hrs or mins
11. Trade or profession Welder
12. Kind of industry
13. Date last worked 1970 14. Total years 22
15. If married name of spouse Phyllis McMullen
16. NAME of Father Thomas McMullen
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Margaret Stevens
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Phyllis McMullen
address Londonderry, Col. Co.
Relationship to deceased Wife
21. Place of burial Londonderry
Date of burial January 6, 1971
22. Undertaker McCulloch and Patriquin Funeral Home, Great Village, Nova Scotia
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 4, 1971
CAUSE OF DEATH
(a) Carcinoma of Esophagus with Liver Metastases
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493184
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