Male Death Registration: Year: 1971 number: 4865
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004865
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution H.M.C.S Margaree
3. PRINT NAME OF DECEASED O'Sullivan, James John Clement
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Quebec City, Quebec
9. DATE OF BIRTH 6 24, 1937
10. AGE in Years34 Months1 Days14 | hrs or mins
11. Trade or profession Naval
12. Kind of industry Electrician
13. Date last worked 14. Total years
15. If married name of spouse Myrtle Blakney
16. NAME of Father John O'Sullivan
17. BIRTHPLACE Quebec
18. NAME of Mother Mary Rollie
19. BIRTHPLACE Quebec
20. Signature of Informant Bill Sullivan
address St. Croix, Hants Co. NS
Relationship to deceased Uncle
21. Place of burial St. Patricks Cemetery, Quebec City
Date of burial Aug 12, 1971
22. Undertaker Lindsay's, Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 7, 1971
CAUSE OF DEATH
(a) Ventricular Fibrillation
(b) Electrocution
(c)
other Accident
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=496940
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