Male Death Registration: Year: 1971 number: 1359
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001359
1. PLACE OF DEATH County of Digby If in City or Town Digby
If death occured in a hospital or institution Shore Road, Digby
3. PRINT NAME OF DECEASED Daley, Frederick Harry
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Digby
9. DATE OF BIRTH 3 21, 1930
10. AGE in Years40 Months10 Days4 | hrs or mins
11. Trade or profession Repairman
12. Kind of industry Refrigeration
13. Date last worked 1971 14. Total years 15
15. If married name of spouse Jessie Fitzgerald
16. NAME of Father Frederick Daley
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ruth Scragg
19. BIRTHPLACE Nova Scotia
20. Signature of Informant D.G. ?Landen
address Digby
Relationship to deceased Brother-in-law
21. Place of burial Digby
Date of burial January 28, 1971
22. Undertaker Jayne's Funeral Home Ltd., Digby
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 25, 1971
CAUSE OF DEATH
(a) Gun shot through heart & lungs
(b) ?functional depression with schizoid ?
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493437
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