Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Harold Stephen Daniels death at East Dalhousie, Annapolis County on September 5, 1971

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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