Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Frederick Stuart Davis death at New Glasgow, Pictou County on April 7, 1970
Male Death Registration: Year: 1970 number: 3177
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003177
1. PLACE OF DEATH County of Pictou If in City or Town New Glasgow
3. PRINT NAME OF DECEASED Davis, Frederick Stuart
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 2, 1949
10. AGE in Years21 Months1 Days5 | hrs or mins
11. Trade or profession Laborer
12. Kind of industry Ferguson Industries
13. Date last worked April 1970 14. Total years 9 months
15. If married name of spouse
16. NAME of Father Leonard Davis
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Rose Shea
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs Rose Davis
address RR3 Pictou
Relationship to deceased Mother
21. Place of burial Haliburton, Pictou
Date of burial April 9, 1970
22. Undertaker McLaren Funeral Home, Pictou
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 7, 1970
CAUSE OF DEATH
(a) Acute Mediastinal amplification Collapsing Br Laborer
(b) Tracheal Tear
(c) Contusion Lung
other Contusion Heart Air Embolism
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