Male Death Registration: Year: 1971 number: 1739
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001739
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution City Hospital
3. PRINT NAME OF DECEASED Marshall, Douglas
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Sydney
9. DATE OF BIRTH 2 13, 1951
10. AGE in Years20 Months Days2 | hrs or mins
11. Trade or profession Sales clerk
12. Kind of industry Sydney Co-op
13. Date last worked Feb.15/71 14. Total years
15. If married name of spouse
16. NAME of Father Douglas Marshall
17. BIRTHPLACE Sydney
18. NAME of Mother Margaret Wouts
19. BIRTHPLACE Amsterdam, Holland
20. Signature of Informant Carl Marshall
address 267 Columbia St., Sydney
Relationship to deceased Brother
21. Place of burial Hardwood Hill Cemetery, Sydney
Date of burial February 18, 1971
22. Undertaker R.H. Filmore Funeral Home Ltd., 141 Dorchester St., Sydney
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 15, 1971
CAUSE OF DEATH
(a) Multiple skull fractures with extensive brain damage
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493817
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