Male Death Registration: Year: 1970 number: 4632
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004632
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Infirmary
3. PRINT NAME OF DECEASED Evans, Ross Owen
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Welsh
7. Single, Married
married
8. BIRTHPLACE Chicago, USA
9. DATE OF BIRTH 6 20, 1886
10. AGE in Years84 Months1 Days4 | hrs or mins
11. Trade or profession Business Executive - Retired
12. Kind of industry Collection Agency
13. Date last worked 1960 14. Total years 60
15. If married name of spouse Ida Dickey
16. NAME of Father Owen Evans
17. BIRTHPLACE Nova Scotia
18. NAME of Mother MacNab
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Reginald D Evans
address 5991 Spring Garden Rd, Halifax
Relationship to deceased Son
21. Place of burial Fairview Cemetery, Halifax
Date of burial 6 Aug 1970
22. Undertaker Halifax Funeral Home Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 3, 1970
CAUSE OF DEATH
(a) Bronchopneumonia
(b)
(c)
other arteriosclerotic heart disease
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=489941
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