Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Daniel Joseph Campbell death at New Waterford, Cape Breton County on September 10, 1971
Male Death Registration: Year: 1971 number: 5595
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005595
1. PLACE OF DEATH County of Cape Breton If in City or Town New Waterford
If death occured in a hospital or institution Consolidated Hospital, New Waterford, NS
3. PRINT NAME OF DECEASED Campbell, Daniel Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Inverness
9. DATE OF BIRTH 12 6, 1907
10. AGE in Years63 Months9 Days4 | hrs or mins
11. Trade or profession Coal Miner
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Angeline Deruelle
16. NAME of Father Angus Campbell
17. BIRTHPLACE Inverness, NS
18. NAME of Mother Margaret MacDonald
19. BIRTHPLACE Inverness, NS
20. Signature of Informant Donald Campbell
address 22 Thomas Street, Scotchtown, C.B, NS
Relationship to deceased Son
21. Place of burial St. Michaels Cemetery, Scotchtown, C.B, NS
Date of burial September 13th, 1971
22. Undertaker V J McGillivray Funeral Homes Limited, New Waterford, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 10, 1971
CAUSE OF DEATH
(a) Metablotic carcinoma
(b)
(c)
other
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