Male Death Registration: Year: 1971 number: 7729
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007729
1. PLACE OF DEATH County of Cumberland If in City or Town Nappan
If death occured in a hospital or institution near Amherst
3. PRINT NAME OF DECEASED Gillis, Daniel Alfred
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Joggins
9. DATE OF BIRTH 7 30, 1915
10. AGE in Years56 Months4 Days26 | hrs or mins
11. Trade or profession Fork Lift Operator
12. Kind of industry Robb Engineering
13. Date last worked November 10, 1971 14. Total years 26
15. If married name of spouse Margret E. O'Neil
16. NAME of Father Daniel Gillis
17. BIRTHPLACE Cape Breton
18. NAME of Mother Rosella Forrest
19. BIRTHPLACE Joggins
20. Signature of Informant Adrienne Gillis
address 9 Palmer St., Amherst
Relationship to deceased daughter
21. Place of burial St. Charles Cemetery, Amherst
Date of burial December 30, 1971
22. Undertaker Campbell's Funeral Home, Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 26, 1971
CAUSE OF DEATH
(a) anoxia due to severe atelectasis
(b) severe emphysema
(c) severe pneumoniosia
other intoxication due to alcohol
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=499801
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