Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Dominique Ernest McNamara death at Balls Creek, Cape Breton County on September 22, 1971
Male Death Registration: Year: 1971 number: 5613
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005613
1. PLACE OF DEATH County of Cape Breton If in City or Town Balls Creek
3. PRINT NAME OF DECEASED McNamara, Dominique Ernest
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 6 7, 1895
10. AGE in Years76 Months3 Days15 | hrs or mins
11. Trade or profession Farmer
12. Kind of industry Mixed Farming
13. Date last worked 1963 14. Total years 50 years
15. If married name of spouse Annie Mae Gouthro
16. NAME of Father jOhn McNamara
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary LeBlanc
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Gerald McNamara
address Balls Creek, Cape Breton Co., NS
Relationship to deceased Son
21. Place of burial St. Mary's, Frenchvale, Cape Breton Co., NS
Date of burial 24 September 1971
22. Undertaker W. J. Dooley Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 22, 1971
CAUSE OF DEATH
(a) Carcinoma of Urinary Bladder
(b)
(c)
other
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