Male Death Registration: Year: 1971 number: 4845
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004845
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
If death occured in a hospital or institution Glen Haven Manor
3. PRINT NAME OF DECEASED Dykens, Thomas Robert Daniel
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 12, 1905
10. AGE in Years66 Months4 Days8 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Miner
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father John Dykens
17. BIRTHPLACE NS
18. NAME of Mother Emma Priest
19. BIRTHPLACE NS
20. Signature of Informant Mrs. Agnes Silver
address Glen Haven Manor
Relationship to deceased Sister
21. Place of burial Brookside
Date of burial July 23,1971
22. Undertaker MacQuarrie, Stellarton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 20, 1971
CAUSE OF DEATH
(a) Carcinomatosis
(b) Cancer of Pancreas
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496920
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