Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Henry Daw death at 2406 Gottingen St. Apt #1012, Halifax, Halifax County on October 26, 1970
Male Death Registration: Year: 1970 number: 6256
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006256
1. PLACE OF DEATH County of Halifax If in City or Town 2406 Gottingen St. Apt #1012, Halifax
If death occured in a hospital or institution 2406 Gottigen St
3. PRINT NAME OF DECEASED Daw, Charles Henry
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 1 31, 1893
10. AGE in Years77 Months8 Days26 | hrs or mins
11. Trade or profession Retired Stevedore
12. Kind of industry
13. Date last worked 1957 14. Total years 20
15. If married name of spouse Ella Daw
16. NAME of Father Robert Daw
17. BIRTHPLACE England
18. NAME of Mother Emily Whidden
19. BIRTHPLACE Newfoundland
20. Signature of Informant Mrs. Ella Daw
address Apt #1012, 2406 Gottingen St. Halifax
Relationship to deceased wife
21. Place of burial St. John's Cemetery, Halifax
Date of burial Oct 28, 1920
22. Undertaker Cruikshank Funeral Home Ltd
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 26, 1970
CAUSE OF DEATH
(a) coronary occlusion
(b) arteriosclerosis
(c)
other
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