Male Death Registration: Year: 1971 number: 4078
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004078
1. PLACE OF DEATH County of Hants If in City or Town East Uniacke
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Dacey, Nason Dunlay
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 2 4, 1921
10. AGE in Years50 Months4 Days22 | hrs or mins
11. Trade or profession Stationery Engineer
12. Kind of industry Army-Windsor Park
13. Date last worked June 25/71 14. Total years 10 yrs
15. If married name of spouse Edith Dacey
16. NAME of Father Stephen Dunlay Dacey
17. BIRTHPLACE Halifax, Nova Scotia
18. NAME of Mother Ada Barnett
19. BIRTHPLACE Cornwall, England
20. Signature of Informant Mrs. Edith Dacey
address RR2, East Uniacke, Hants Co.
Relationship to deceased wife
21. Place of burial St. Paul's Cemetery, East Uniacke, NS
Date of burial June 29, 1971
22. Undertaker Cruikshank Funeral Home Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 26, 1971
CAUSE OF DEATH
(a) gunshot wound suicide
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496153
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