Male Death Registration: Year: 1971 number: 4122
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004122
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution on highway
3. PRINT NAME OF DECEASED Landry, Daniel Cornelius
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
married
8. BIRTHPLACE Pictou
9. DATE OF BIRTH 1 3, 1939
10. AGE in Years32 Months5 Days9 | hrs or mins
11. Trade or profession Pipe Fitter
12. Kind of industry Michelin Tire
13. Date last worked 1971 14. Total years 2 yrs
15. If married name of spouse Wilda Langille
16. NAME of Father Daniel Landry
17. BIRTHPLACE Prince Edward Island
18. NAME of Mother Sadie Casey
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Daniel Landry
address Three Brooks, Pictou Co. NS
Relationship to deceased Wife
21. Place of burial Stella Marie, Pictou
Date of burial June 15, 1971
22. Undertaker McLaren Funeral Home, Pictou, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 12, 1971
CAUSE OF DEATH
(a) Asphyxia
(b) Concussion
(c)
other Accident: 2-car collision
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496197
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