Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
James Vincent Wallace death at Georgeville, Annapolis County on June 3, 1971
Male Death Registration: Year: 1971 number: 3856
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003856
1. PLACE OF DEATH County of Annapolis If in City or Town Georgeville
3. PRINT NAME OF DECEASED Wallace, James Vincent
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 22, 1922
10. AGE in Years49 Months1 Days12 | hrs or mins
11. Trade or profession Machine Operator
12. Kind of industry Department of Highways NS
13. Date last worked June 3/71 14. Total years 6 mos
15. If married name of spouse Thelma Dooley
16. NAME of Father James Wallace
17. BIRTHPLACE NS
18. NAME of Mother Annie Daley
19. BIRTHPLACE NS
20. Signature of Informant Mrs. Thelma E. Wallace
address Afton, Ant. Co. NS
Relationship to deceased Wife
21. Place of burial St. Patrick's R C Cemetery, Merlin, Ant. Co. NS
Date of burial June 6, 1971
22. Undertaker Curry Brothers Funeral Directors Ltd, Antigonish
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 3, 1971
CAUSE OF DEATH
(a) Asphyxia
(b) Crush injury of chest
(c)
other Accident: Driving - payloader went out of control
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