Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Daniel James Matheson death at Glace Bay, Cape Breton County on August 1, 1971
Male Death Registration: Year: 1971 number: 4758
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004758
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution Glace Bay General Hospital
3. PRINT NAME OF DECEASED Matheson, Daniel James
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Point Edward
9. DATE OF BIRTH 8 9, 1882
10. AGE in Years88 Months11 Days23 | hrs or mins
11. Trade or profession Retired Miner
12. Kind of industry Caledonia Coal
13. Date last worked 1949 14. Total years
15. If married name of spouse
16. NAME of Father Frank Matheson
17. BIRTHPLACE Gabarous, NS
18. NAME of Mother Sarah Ferguson
19. BIRTHPLACE
20. Signature of Informant Mrs. John M. Buchanan
address Donkin, NS
Relationship to deceased Niece
21. Place of burial St. Luke's United Cemetery, Donkin, NS
Date of burial August 4, 1971
22. Undertaker V. J. McGillivray Funeral Homes Ltd., Glace Bay, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 1, 1971
CAUSE OF DEATH
(a) Acute Myocardial Infarction
(b)
(c) Congestive Heart Failure
other
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