Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Daniel Vincent Campbell death at Glace Bay, Cape Breton County on June 27, 1971
Male Death Registration: Year: 1971 number: 4144
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004144
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution St. Joseph's Hospital
3. PRINT NAME OF DECEASED Campbell, Daniel Vincent
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Main-a-Dieu
9. DATE OF BIRTH 3 9, 1885
10. AGE in Years86 Months3 Days18 | hrs or mins
11. Trade or profession Pensioned
12. Kind of industry Dominion Coal Company
13. Date last worked 1951 14. Total years
15. If married name of spouse Mary Shaw
16. NAME of Father John Campbell
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Marie Cryer
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Miss. Marie Campbell, R.N.
address 55 Victoria St, Glace Bay, NS
Relationship to deceased Daughter
21. Place of burial St. Anne's, Glace Bay, NS
Date of burial June 30,1971
22. Undertaker V. J. McGillivray Funeral Homes Limited, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 27, 1971
CAUSE OF DEATH
(a) Pyelonephritis
(b)
(c)
other
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