Male Death Registration: Year: 1970 number: 4720
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 004720
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Camp Hill Hospital, Halifax
3. PRINT NAME OF DECEASED Eisan, Ezra Foster
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 3 25, 1894
10. AGE in Years76 Months4 Days16 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Ada Gatfield
16. NAME of Father Andrew Eisan
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Hannah Marks
19. BIRTHPLACE Nova Scotia
20. Signature of Informant W.A. Doncaster
address 11 Joyce Ave., Halifax
Relationship to deceased son-in-law
21. Place of burial Fairview Cemetery, Halifax
Date of burial Aug 13, 1970
22. Undertaker J. Albert Walker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 10, 1970
CAUSE OF DEATH
(a) Myocardial infarction
(b) arteriosclerotic heart disease
(c) aortic hypertension (?)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=490029
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