Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
George William Davis death at Halifax, Halifax County on January 16, 1970
Male Death Registration: Year: 1970 number: 1314
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001314
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hosptial
3. PRINT NAME OF DECEASED Davis, George William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
divorced
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 8 31, 1897
10. AGE in Years72 Months4 Days17 | 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 Isaac Davis
17. BIRTHPLACE Nova Scotia
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Mr John Aiken
address May St New Glasgow
Relationship to deceased Nephew
21. Place of burial Heatherdale Mem Gardens Sylvester
Date of burial Jan 19 1970
22. Undertaker Angus New Glasgow
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 16, 1970
CAUSE OF DEATH
(a) Bronchopneumonia 1 wk
(b)
(c)
other Huntingdon's Chorea 30
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