Male Death Registration: Year: 1971 number: 3556
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003556
1. PLACE OF DEATH County of Annapolis If in City or Town Middleton
If death occured in a hospital or institution Mid-Valley Motel
3. PRINT NAME OF DECEASED O'Neill, Bazil Richard
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 2 22, 1919
10. AGE in Years52 Months3 Days5 | hrs or mins
11. Trade or profession Salesman
12. Kind of industry Canadian Pittsburg Industries
13. Date last worked May 27/71 14. Total years 20 yrs
15. If married name of spouse Bertha Frances Sullivan
16. NAME of Father Charles O'Neill
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Bell Smith
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. B. R. O'Neill
address 3772 Basinview Dr., Halifax, NS
Relationship to deceased Wife
21. Place of burial Gate of Heaven Cemetery, Lr. Sackville, NS
Date of burial May 31, 1971
22. Undertaker Halifax Funeral Home Ltd., Halifax, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 27, 1971
CAUSE OF DEATH
(a) Massive Coronary Occlusion
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495632
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