Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Michael Joseph Gillis death at Glace Bay, Cape Breton County on May 25, 1971
Male Death Registration: Year: 1971 number: 3567
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003567
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution St. Joseph's Hospital
3. PRINT NAME OF DECEASED Gillis, Michael Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Glace Bay
9. DATE OF BIRTH 11 17, 1893
10. AGE in Years77 Months6 Days8 | hrs or mins
11. Trade or profession Retired foreman of Construction
12. Kind of industry Dominion Coal Company, at Machine Shop
13. Date last worked 1961 14. Total years
15. If married name of spouse Sarah McDougall (dec'd)
16. NAME of Father Michael L. Gillis
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Annie McEachern
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Alex Gillis
address 346 5th St, Glace Bay, NS
Relationship to deceased Brother
21. Place of burial St. Anne's Cemetery, Glace Bay, NS
Date of burial May 28, 1971
22. Undertaker V. J. McGillivray Funeral Homes Limited, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 25, 1971
CAUSE OF DEATH
(a) Coronary Heart Disease
(b) Carcinoma of Lung
(c) Diverticulitis
other Cerebrovascular Accident - right sided Paralysis
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