Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Levi Wallace Jollimore death at Halifax, Halifax County on February 20, 1970
Male Death Registration: Year: 1970 number: 1818
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001818
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
3. PRINT NAME OF DECEASED Jollimore, Levi Wallace
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 14, 1877
10. AGE in Years92 Months10 Days6 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father William Jollimore
17. BIRTHPLACE
18. NAME of Mother Alice
19. BIRTHPLACE
20. Signature of Informant Ronald A Walker
address 149 Herring Cove Road
Relationship to deceased None
21. Place of burial St. Peters Cemetery
Date of burial February 23, 1970
22. Undertaker J. Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 20, 1970
CAUSE OF DEATH
(a) Cerebral Thrombosis
(b) Arteriosclerosis
(c)
other
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