Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Adrian Charles O'Connell death at Sydney, Cape Breton County on May 28, 1971
Male Death Registration: Year: 1971 number: 4378
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004378
1. PLACE OF DEATH County of Cape Breton If in City or Town Sydney
If death occured in a hospital or institution Sydney City Hospital
3. PRINT NAME OF DECEASED O'Connell, Adrian Charles
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Glace Bay
9. DATE OF BIRTH 1 16, 1959
10. AGE in Years12 Months4 Days12 | 3 hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Michael O'Connell
17. BIRTHPLACE Glace Bay
18. NAME of Mother Elizabeth Gouthro
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Elizabeth O'Connell
address 164 Tenth Street, New Aberdeen, CB, NS
Relationship to deceased Mother
21. Place of burial St. John Cemetery, New Aberdeen, CB, NS
Date of burial May 30, 1971
22. Undertaker Curry's Funeral Home, Glace Bay, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 28, 1971
CAUSE OF DEATH
(a) Mongolism with Epilepsy
(b)
(c)
other
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