Male Death Registration: Year: 1971 number: 3855
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003855
1. PLACE OF DEATH County of Antigonish If in City or Town Bayfield
3. PRINT NAME OF DECEASED Sylliboy, Darryl Frank
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Mi'kmaq
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 3, 1965
10. AGE in Years5 Months11 Days2 | hrs or mins
11. Trade or profession student
12. Kind of industry Student
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Matthew Sylliboy
17. BIRTHPLACE NS
18. NAME of Mother Margaret Rose Simon
19. BIRTHPLACE NS
20. Signature of Informant Matthew Sylliboy
address Bayfield, Ant. Co. NS
Relationship to deceased father
21. Place of burial Summerside, St. Ann's Cemetery, Heatherton, NS
Date of burial June 4, 1971
22. Undertaker Curry Brothers Funeral Directors Ltd, Antigonish
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 1, 1971
CAUSE OF DEATH
(a) Transection of Spinal Cord
(b) Massive Internal Bleeding
(c)
other Accident: Car-pedestrian
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495931
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