Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ernest William Davis death at Liverpool, Queens County on February 9, 1970
Male Death Registration: Year: 1970 number: 1651
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001651
1. PLACE OF DEATH County of Queens If in City or Town Liverpool
If death occured in a hospital or institution 49 School Street Liverpool
3. PRINT NAME OF DECEASED Davis, Ernest William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Shelburne
9. DATE OF BIRTH 8 17, 1893
10. AGE in Years76 Months5 Days23 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Stevedore
13. Date last worked 1964 14. Total years
15. If married name of spouse Margaret M. Davis (dec'd)
16. NAME of Father William Davis
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Sophia Munroe
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Catherine Lohnes
address 49 School St. Liverpool
Relationship to deceased Daughter
21. Place of burial Liverpool
Date of burial February 11, 1970
22. Undertaker Chandler's Funeral Service Ltd., Liverpool
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 9, 1970
CAUSE OF DEATH
(a) Myocardial infraction
(b) C.V.A
(c)
other
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