Male Death Registration: Year: 1970 number: 3725
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003725
1. PLACE OF DEATH County of Guysborough If in City or Town Guysborough
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Jewell, David Aubrey
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
single
8. BIRTHPLACE Amherst
9. DATE OF BIRTH 3 30, 1911
10. AGE in Years59 Months2 Days3 | hrs or mins
11. Trade or profession labourer
12. Kind of industry
13. Date last worked Jun 2 1970 14. Total years all his life
15. If married name of spouse
16. NAME of Father David Abner Jewell
17. BIRTHPLACE Guysborough
18. NAME of Mother Katherine Johnstone
19. BIRTHPLACE Guysborough
20. Signature of Informant Ira Gordon Jewell
address Guysborough
Relationship to deceased brother
21. Place of burial Evergreen Cemetery, Guysborough
Date of burial June 6, 1970
22. Undertaker Nathan Rhynold, Philips Harbour
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 3, 1970
CAUSE OF DEATH
(a) gunshot wound of head
(b)
(c)
other Suicide
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489035
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