Male Death Registration: Year: 1971 number: 2512
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002512
1. PLACE OF DEATH County of Cape Breton If in City or Town North Sydney
If death occured in a hospital or institution St. Elizabeth Hospital
3. PRINT NAME OF DECEASED McDaniel, Anselm
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Margaree Forks
9. DATE OF BIRTH 4 26, 1886
10. AGE in Years84 Months10 Days13 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Retired
13. Date last worked 1955 14. Total years
15. If married name of spouse
16. NAME of Father Peter McDaniel
17. BIRTHPLACE Margaree Forks
18. NAME of Mother Ann Coady
19. BIRTHPLACE Margaree Forks
20. Signature of Informant A.D. Ingraham
address Margaree Centre
Relationship to deceased
21. Place of burial N E Margaree
Date of burial March 13, 1971
22. Undertaker A.D. Ingraham
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 11, 1971
CAUSE OF DEATH
(a) Pulmonary abscess
(b) Bronchopneumonia
(c)
other pericarditis
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494589
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