Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ernest Henry Sampson death at Dartmouth, Halifax County on June 10, 1970
Male Death Registration: Year: 1970 number: 3968
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003968
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
If death occured in a hospital or institution Halifax Harbour
3. PRINT NAME OF DECEASED Sampson, Ernest Henry
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French
7. Single, Married
widowed
8. BIRTHPLACE L'Ardoise
9. DATE OF BIRTH 8 21, 1902
10. AGE in Years67 Months9 Days20 | hrs or mins
11. Trade or profession Retired
12. Kind of industry Carpenter
13. Date last worked Jan 1965 14. Total years 30
15. If married name of spouse Margaret Sampson (deceased)
16. NAME of Father Henry Sampson
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Harriett Martell
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Sophie Harlow
address 8 Harvey St, Dartmouth
Relationship to deceased Sister
21. Place of burial Gate of Heaven, Lr Sackville
Date of burial June 19 1970
22. Undertaker Dartmouth Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 10, 1970
CAUSE OF DEATH
(a) Drowning
(b)
(c)
other Accident - body found in Halifax harbour
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