Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Frank Carl Jarvis death at Port Medway, Queens County on June 5, 1970
Male Death Registration: Year: 1970 number: 3646
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003646
1. PLACE OF DEATH County of Queens If in City or Town Port Medway
If death occured in a hospital or institution Highway
3. PRINT NAME OF DECEASED Jarvis, Frank Carl
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Negro
7. Single, Married
single
8. BIRTHPLACE Liverpool
9. DATE OF BIRTH 3 25, 1953
10. AGE in Years17 Months2 Days11 | hrs or mins
11. Trade or profession Student
12. Kind of industry High School
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father
17. BIRTHPLACE
18. NAME of Mother Marion Jarvis
19. BIRTHPLACE Liverpool
20. Signature of Informant Robert W Connell
address Children's Aid Society of Queens County, Liverpool
Relationship to deceased None
21. Place of burial Liverpool
Date of burial June 7, 1970
22. Undertaker Chandlers Funeral Services Ltd., Liverpool
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 5, 1970
CAUSE OF DEATH
(a) massive Cerebral Hemorrhage
(b) Direct trauma to head
(c) Motor vehicle accident
other accident - thrown from motor vehicle
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