Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Sidney David Eisan death at Musquodobit Harbour, Halifax County on September 4, 1970
Male Death Registration: Year: 1970 number: 5514
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005514
1. PLACE OF DEATH County of Halifax If in City or Town Musquodobit Harbour
If death occured in a hospital or institution Twin Oaks Hospital, Musquodoboit Harbour
3. PRINT NAME OF DECEASED Eisan, Sidney David
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Dutch
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 4 2, 1901
10. AGE in Years69 Months5 Days2 | hrs or mins
11. Trade or profession labourer
12. Kind of industry general
13. Date last worked July 20, 1970 14. Total years 52
15. If married name of spouse Dorothy Eisan
16. NAME of Father Frederick Eisan
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Isabelle Buffett
19. BIRTHPLACE Newfoundland
20. Signature of Informant Mrs. Dorothy Eisan
address Ship Harbour
Relationship to deceased wife
21. Place of burial Ship Harbour
Date of burial Sept 7, 1970
22. Undertaker Rowlings Funeral Services
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 4, 1970
CAUSE OF DEATH
(a) carcinoma of stomach
(b)
(c)
other
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