Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Edwin Daniels death at Bridgewater, Lunenburg County on September 30, 1971
Male Death Registration: Year: 1971 number: 5936
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005936
1. PLACE OF DEATH County of Lunenburg If in City or Town Bridgewater
If death occured in a hospital or institution D.M. Hospital
3. PRINT NAME OF DECEASED Daniels, Charles Edwin
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Anglo-Saxon
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 10 4, 1884
10. AGE in Years86 Months11 Days26 | hrs or mins
11. Trade or profession ratired laborer
12. Kind of industry Lumbering
13. Date last worked 1955 14. Total years 50
15. If married name of spouse Mrs Ina Daniels
16. NAME of Father John Daniels
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Alice Feindel
19. BIRTHPLACE NS
20. Signature of Informant Mrs Ina Daniels
address New Germany, RR 3,NS
Relationship to deceased Wife
21. Place of burial New Germany NS
Date of burial Oct 2 1971
22. Undertaker Langille Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 30, 1971
CAUSE OF DEATH
(a) C.V. Accident
(b) Arteriosclerosis
(c) Hyper Tension
other Senility
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