Male Death Registration: Year: 1971 number: 5716
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005716
1. PLACE OF DEATH County of Annapolis If in City or Town East Dalhousie
3. PRINT NAME OF DECEASED Daniels, Harold Stephen
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
German
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 2, 1970
10. AGE in Years1 Months5 Days3 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Ernest Daniels
17. BIRTHPLACE NS
18. NAME of Mother Helen Joudrey
19. BIRTHPLACE NS
20. Signature of Informant Mrs. Ernest Daniels
address Dalhousie East, Kings Co., NS
Relationship to deceased Mother
21. Place of burial Dalhousie East, Kings Co., NS
Date of burial 7 September 1971
22. Undertaker Langille's Funeral Home, Barss Corner, Lunenburg Co., NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 5, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b) General Debility
(c)
other Brain Deformity
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/
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