Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Dougal Wallace Fleet death at Sheet Harbour, Halifax County on September 3, 1971

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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