Male Death Registration: Year: 1971 number: 3282
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003282
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution 83 Moxham Drive, Sydney, NS
3. PRINT NAME OF DECEASED Gillis, John Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Cape Breton
9. DATE OF BIRTH 11 10, 1909
10. AGE in Years61 Months5 Days7 | hrs or mins
11. Trade or profession Teacher
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Anne
16. NAME of Father James Gillis
17. BIRTHPLACE Sydney, NS
18. NAME of Mother Mary Anne Gillis
19. BIRTHPLACE Sydney, NS
20. Signature of Informant Donald Gillis
address 83 Moxham Drive, Sydney, NS
Relationship to deceased Son
21. Place of burial Resurrection Cemetery, Sydney Forks, NS
Date of burial April 19, 1971
22. Undertaker T W Curry Ltd, Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 17, 1971
CAUSE OF DEATH
(a) Hepatic Carcinoma
(b) nil
(c)
other Chronic Gastric Ulcer
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495358
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