Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Ralph Ellis death at Liverpool, Queens County on May 10, 1970
Male Death Registration: Year: 1970 number: 3338
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003338
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 Ellis, John Ralph
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 3, 1887
10. AGE in Years83 Months1 Days7 | hrs or mins
11. Trade or profession Farmer (retired)
12. Kind of industry Farming
13. Date last worked Sept/69 14. Total years
15. If married name of spouse Mary Ellis
16. NAME of Father Ruben Ellis
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Mary Bruce
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Maxwell E Webber
address 6160 Duncan St, Halifax
Relationship to deceased nephew
21. Place of burial Beach Meadows
Date of burial May 12, 1970
22. Undertaker Chandler's Funeral Home, Liverpool
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH May 10, 1970
CAUSE OF DEATH
(a) Carcenoma of Prostate with metastases
(b)
(c)
other
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