Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Harris Stevens death at Glace Bay, Cape Breton County on June 27, 1970
Male Death Registration: Year: 1970 number: 4148
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004148
1. PLACE OF DEATH County of Cape Breton If in City or Town Glace Bay
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Stevens, Harris
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
married
8. BIRTHPLACE Tancook Island
9. DATE OF BIRTH 10 23, 1894
10. AGE in Years75 Months8 Days4 | hrs or mins
11. Trade or profession Machinist
12. Kind of industry Dom. Coal Co.
13. Date last worked 1960 14. Total years 52
15. If married name of spouse Bessie Stevens
16. NAME of Father David Stevens
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Emma Young
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Dorothy Smith
address Neville St. Dominion
Relationship to deceased daughter
21. Place of burial Forest Haven
Date of burial June 31, 1970
22. Undertaker Patten's Funeral Home, Glace Bay
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH June 27, 1970
CAUSE OF DEATH
(a) Cerebral Vascular Accident
(b)
(c)
other Doctor wrote: D.O.A. at patient home
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