Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Dana Jerome Spears death at Antigonish, Antigonish County on September 27, 1970
Male Death Registration: Year: 1970 number: 5716
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 005716
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED Spears, Dana Jerome
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
French & Scottish
7. Single, Married
single
8. BIRTHPLACE Antigonish
9. DATE OF BIRTH 9 26, 1970
10. AGE in Years Months Days1 | hrs or mins
11. Trade or profession
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Alvin Michael Spears
17. BIRTHPLACE Whitehead
18. NAME of Mother Beverly Elizabeth Bouchie
19. BIRTHPLACE Little Dover
20. Signature of Informant Mrs. Alvin Spears
address Little Dover
Relationship to deceased mother
21. Place of burial Dover
Date of burial Sept. 27, 1970
22. Undertaker
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH September 27, 1970
CAUSE OF DEATH
(a) Respiratory distress
(b) Prematurity
(c) Twin ???
other
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