Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Claude William Davis death at Parrsboro, Cumberland County on August 15, 1970
Male Death Registration: Year: 1970 number: 5098
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005098
1. PLACE OF DEATH County of Cumberland If in City or Town Parrsboro
If death occured in a hospital or institution South Cumberland Memorial Hospital
3. PRINT NAME OF DECEASED Davis, Claude William
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
single
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 15, 1906
10. AGE in Years64 Months1 Days0 | hrs or mins
11. Trade or profession First Aid Adminstrator
12. Kind of industry Pulp and Paper Industry
13. Date last worked March 1970 14. Total years 20 years
15. If married name of spouse
16. NAME of Father John William Davis
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Georgina Davis
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Russell C. Ross
address Athol
Relationship to deceased Half-brother
21. Place of burial Leamington
Date of burial August 18, 1970
22. Undertaker A.H. Brown Funeral Service Ltd., Springhill
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 15, 1970
CAUSE OF DEATH
(a) Carcinoma of the stomach
(b)
(c)
other
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