Male Death Registration: Year: 1970 number: 2402
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002402
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Evans, Justin Joseph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Antigonish
9. DATE OF BIRTH 3 13, 1970
10. AGE in Years Months Days2 | 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
17. BIRTHPLACE
18. NAME of Mother Jayne Elizabeth Evans
19. BIRTHPLACE England
20. Signature of Informant
address 111 Church St, Antigonish
Relationship to deceased Grandfather
21. Place of burial
Date of burial March 18, 1970
22. Undertaker Curry's Funeral Home Antigonish
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 15, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=487715
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