Male Death Registration: Year: 1971 number: 3907
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003907
1. PLACE OF DEATH County of Cumberland If in City or Town Springhill
If death occured in a hospital or institution Springhill Medium Security Institution
3. PRINT NAME OF DECEASED Gillespie, Daniel Vincent
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Moncton, New Brunswick
9. DATE OF BIRTH 9 17, 1953
10. AGE in Years17 Months8 Days15 | hrs or mins
11. Trade or profession Student
12. Kind of industry Vocational School
13. Date last worked Oct/71 14. Total years 1 yr
15. If married name of spouse
16. NAME of Father Clement Brian Gillespie
17. BIRTHPLACE Moncton New Brunswick
18. NAME of Mother Thelma Ruth Crossman
19. BIRTHPLACE Moncton, New Brunswick
20. Signature of Informant C. Brian Gillespie
address 49 Pacific Ave, Moncton, NB
Relationship to deceased father
21. Place of burial St. Anselme, Westmorland Co, NB
Date of burial June 4 1971
22. Undertaker A.H Brown Funeral Services Ltd, Springhill, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 1, 1971
CAUSE OF DEATH
(a) inhalation of a chemical solvent
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=495983
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