Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
David Allan Moore death at West Lawrencetown, Halifax County on August 9, 1970
Male Death Registration: Year: 1970 number: 5561
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005561
1. PLACE OF DEATH County of Halifax If in City or Town West Lawrencetown
If death occured in a hospital or institution Conrad Beach West Lawrencetown
3. PRINT NAME OF DECEASED Moore, David Allan
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
single
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 5 26, 1948
10. AGE in Years22 Months2 Days13 | hrs or mins
11. Trade or profession Student
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Allan Moore
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Flora Montgomery
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mr. Allan Moore
address 9 Westbrook Ave., Dartmouth
Relationship to deceased Father
21. Place of burial Dartmouth Memorial Gardens
Date of burial Sept. 15, 1970
22. Undertaker Mattatall Funeral Ser Ltd Dartmouth
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH August 9, 1970
CAUSE OF DEATH
(a) Accidental Drowning
(b)
(c)
other
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