Male Death Registration: Year: 1971 number: 5510
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005510
1. PLACE OF DEATH County of Halifax If in City or Town Sheet Harbour
If death occured in a hospital or institution Eastern Shore Memorial Hospital
3. PRINT NAME OF DECEASED Fleet, Dougal Wallace
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Ecum Secum Bridge
9. DATE OF BIRTH 11 24, 1891
10. AGE in Years79 Months9 Days9 | hrs or mins
11. Trade or profession Fisherman
12. Kind of industry Retired
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Alexander Fleet
17. BIRTHPLACE Ecum Secum, NS
18. NAME of Mother Laura Pye
19. BIRTHPLACE Ecum Secum, NS
20. Signature of Informant Kermit Fleet
address Ecum Secum Bridge, NS
Relationship to deceased Son
21. Place of burial Ecum Secum West
Date of burial September 5, 1971
22. Undertaker Veinotte & Sons Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 3, 1971
CAUSE OF DEATH
(a) Carcinomatosis
(b) Carcinoma of Pancreas
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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