Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Mark David Cox death at Dartmouth, Halifax County on March 25, 1970
Male Death Registration: Year: 1970 number: 2415
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002415
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
If death occured in a hospital or institution Retarted Children's Hospital
3. PRINT NAME OF DECEASED Cox, Mark David
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 4 28, 1965
10. AGE in Years4 Months10 Days27 | hrs or mins
11. Trade or profession Child
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father John B. Cox.
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Evelyn
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. John B. Cox
address 19 Jackson Rd. Dartmouth
Relationship to deceased Father
21. Place of burial Fairview Cem. Halifax
Date of burial March 28, 1970
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 25, 1970
CAUSE OF DEATH
(a)
(b)
(c)
other
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