Male Death Registration: Year: 1970 number: 4496
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004496
1. PLACE OF DEATH County of Halifax If in City or Town Dartmouth
If death occured in a hospital or institution Joffrey St Dartmouth
3. PRINT NAME OF DECEASED Evans, Frank Richard
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Welsh
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 9 11, 1917
10. AGE in Years52 Months10 Days11 | hrs or mins
11. Trade or profession Retired
12. Kind of industry RCA Captain
13. Date last worked 1955 ? 14. Total years 10
15. If married name of spouse Natalie Evans
16. NAME of Father Frank Evans
17. BIRTHPLACE New Brunswick
18. NAME of Mother Gertrude ?
19. BIRTHPLACE New Brunswick
20. Signature of Informant Mrs. Frank Evans
address 112 Joffrey Street Dartmouth
Relationship to deceased Wife
21. Place of burial St John New Brunswick
Date of burial 24 July 1970
22. Undertaker A.L. Mattatall Funeral Service Ltd., Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH July 22, 1970
CAUSE OF DEATH
(a) Cerebral thrombosis
(b) Gen. atterosclerosis
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489805
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