Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Daniel Williams death at Sydney, Cape County on June 10, 1971
Male Death Registration: Year: 1971 number: 3884
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003884
1. PLACE OF DEATH County of Cape If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital
3. PRINT NAME OF DECEASED Williams, Daniel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Wales
9. DATE OF BIRTH 1 28, 1886
10. AGE in Years85 Months4 Days13 | hrs or mins
11. Trade or profession Dosco Rail Mill
12. Kind of industry
13. Date last worked 1957 14. Total years
15. If married name of spouse
16. NAME of Father Daniel Williams
17. BIRTHPLACE Wales
18. NAME of Mother Mary Brown
19. BIRTHPLACE Wales
20. Signature of Informant Charles Williams
address 1232 George St, Sydney, NS
Relationship to deceased Son
21. Place of burial Hardwood Hill Cemetery, Sydney, NS
Date of burial June 12, 1971
22. Undertaker R.H. Fillmore Funeral Home Ltd, Sydney, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 10, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Multiple Fractures (accident - fell from 2nd floor window)
(c) Diabetes
other Accident: fell from 2nd floor window
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