Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Fraser Gordon Hollis death at Mount Pleasant, Cumberland County on August 11, 1971
Male Death Registration: Year: 1971 number: 5493
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005493
1. PLACE OF DEATH County of Cumberland If in City or Town Mount Pleasant
If death occured in a hospital or institution Highway
3. PRINT NAME OF DECEASED Hollis, Fraser Gordon
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Mansfield
9. DATE OF BIRTH 10 29, 1950
10. AGE in Years20 Months9 Days13 | hrs or mins
11. Trade or profession Police Cadet
12. Kind of industry Town of Burlington
13. Date last worked July 25/71 14. Total years
15. If married name of spouse
16. NAME of Father Henry Alton Hollis
17. BIRTHPLACE Mansfield, Nova Scotia
18. NAME of Mother Hilda Florence Thompson
19. BIRTHPLACE Little River, Nova Scotia
20. Signature of Informant Graeme T. Hollis
address Truro, N.S (24 Hayward Cres.)
Relationship to deceased Brother
21. Place of burial Mansfield, Nova Scotia
Date of burial August 14 1971
22. Undertaker F. A Black
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 11, 1971
CAUSE OF DEATH
(a) Suffocation due to pulmonary haemorrhage
(b) Massive cerebellar disruption
(c)
other Accident: car collided with truck
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