Male Death Registration: Year: 1971 number: 5580
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005580
1. PLACE OF DEATH County of Annapolis If in City or Town Annapolis Royal
If death occured in a hospital or institution Annapolis General Hospital
3. PRINT NAME OF DECEASED Daniels, Orland Arthur
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Mount Hanley
9. DATE OF BIRTH 9 28, 1901
10. AGE in Years69 Months11 Days22 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Retired
13. Date last worked 14. Total years
15. If married name of spouse Mrs. Vera M. Daniels
16. NAME of Father Hallett R. Daniels
17. BIRTHPLACE Month Hanley, Anna. Co., N.S
18. NAME of Mother Winnie Slocum
19. BIRTHPLACE Nova Scotia
20. Signature of Informant George M Daniels
address Granville Ferry, RR 1
Relationship to deceased Son
21. Place of burial Pine Grove Cemetery, Middleton
Date of burial September 22 1971
22. Undertaker Chisholm's Funeral Home, Granville Ferry
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 20, 1971
CAUSE OF DEATH
(a) Ruptured Lung
(b) Multiple Thoracic Injuries
(c)
other Myocardial Infarction & Chronic Bronchitis Accident: Run over by tractor
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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