Male Death Registration: Year: 1970 number: 1091
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001091
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Civic Hospital
3. PRINT NAME OF DECEASED David, Elias Westley
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Negro
7. Single, Married
widowed
8. BIRTHPLACE Hammonds Plains
9. DATE OF BIRTH 9 2, 1880
10. AGE in Years89 Months4 Days1 | hrs or mins
11. Trade or profession Cooper
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Al David
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Ronald David
address Upper Hammonds Plains
Relationship to deceased Son
21. Place of burial Hammonds Plains
Date of burial January 6, 1970
22. Undertaker R. D. Lindsay, Bedford
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 3, 1970
CAUSE OF DEATH
(a) Myocardial Infarction
(b) Atherosclerosis
(c) Senility
other Left lower lobe pneumonia
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=486405
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