Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Ivan Richard Sisco death at Waverley, Halifax County on July 7, 1970
Male Death Registration: Year: 1970 number: 4198
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004198
1. PLACE OF DEATH County of Halifax If in City or Town Waverley
If death occured in a hospital or institution Miller Lake
3. PRINT NAME OF DECEASED Sisco, Ivan Richard
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
single
8. BIRTHPLACE Windsor
9. DATE OF BIRTH 12 26, 1949
10. AGE in Years20 Months6 Days11 | hrs or mins
11. Trade or profession Upholsterer
12. Kind of industry
13. Date last worked 1970 14. Total years
15. If married name of spouse
16. NAME of Father James Sisco
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ethel Neil
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Donald Johnston
address Box 102 Hantsport, Hants Co.
Relationship to deceased Sister
21. Place of burial Hantsport
Date of burial July 10 1970
22. Undertaker Lindsay Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 7, 1970
CAUSE OF DEATH
(a) Accidental drowning
(b)
(c)
other Accident - Swimming
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