Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

Harvey Debolis Covey death at Liverpool, Queens County on May 5, 1970

Male Death Registration: Year: 1970 number: 3335

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 003335

1. PLACE OF DEATH   County of Queens If in City or Town Liverpool
If death occured in a hospital or institution Queens General Hospital

3. PRINT NAME OF DECEASED Covey, Harvey Debolis

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

English

7. Single, Married

married

8. BIRTHPLACE Indian Harbour

9. DATE OF BIRTH 8  29, 1879

10. AGE in  Years90  Months8  Days6 | hrs or mins

11. Trade or profession Retired

12. Kind of industry Fisherman

13. Date last worked 1950       14. Total years

15. If married name of spouse Rhoda Matilda Covey

16. NAME of Father Siras Covey

17. BIRTHPLACE Nova Scotia

18. NAME of Mother  

19. BIRTHPLACE

20. Signature of Informant Eleanor Coolen

      address RR1 Liverpool

      Relationship to deceased sister-in-law

21. Place of burial Liverpool

      Date of burial May 7, 1970

22. Undertaker Chandlers Funeral Service ltd, Liverpool

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH May 5, 1970

CAUSE OF DEATH

(a) ASHD

(b) auricular fibrilation

(c)

other

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