Male Death Registration: Year: 1971 number: 5237
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005237
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution St. Joseph's Hospital
3. PRINT NAME OF DECEASED Gillis, John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Dominion
9. DATE OF BIRTH 4 12, 1895
10. AGE in Years76 Months4 Days17 | hrs or mins
11. Trade or profession Retired Chief Engineer
12. Kind of industry Dominion Coal Co.
13. Date last worked 11 yrs ago 14. Total years
15. If married name of spouse Julia Coady
16. NAME of Father Angus Gillis
17. BIRTHPLACE Ingonish, NS
18. NAME of Mother Isabel MacNeil
19. BIRTHPLACE Ingonish, NS
20. Signature of Informant Coady Gillis
address 76 Ocean Ave., Glace Bay, NS
Relationship to deceased Son
21. Place of burial Calvary Cemetery, Dominion, NS
Date of burial Sept 1,1971
22. Undertaker V. J. McGillivray Funeral Homes Ltd., 16 Reserve Street, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 29, 1971
CAUSE OF DEATH
(a) Hypostatic Pneumonia
(b) Generalized Arteriosclerosis with Emphysema
(c)
other Arthritis and Anorexia
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=497311
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