Male Death Registration: Year: 1971 number: 5091
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005091
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camphill Hospital
3. PRINT NAME OF DECEASED Sullivan, George Douglas
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
widowed
8. BIRTHPLACE Isaac Harbour
9. DATE OF BIRTH 10 6, 1888
10. AGE in Years82 Months10 Days16 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Labourer
13. Date last worked 1930 14. Total years 20 yrs
15. If married name of spouse Margaret May Sullivan
16. NAME of Father John D Sullivan
17. BIRTHPLACE Ireland
18. NAME of Mother Henrietta Hines
19. BIRTHPLACE Guysboro Co. NS
20. Signature of Informant John Lawrence Sullivan
address 30 Sanford Rd, Kentville, NS
Relationship to deceased Son
21. Place of burial Fort Massey Cemetery, Halifax, NS
Date of burial August 24, 1971
22. Undertaker Cruickshanks Funeral Home Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 22, 1971
CAUSE OF DEATH
(a) Myocardial Infarction
(b)
(c)
other Cancer of the Prostate
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497165
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