Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jacob Lewis Harvey death at Halifax, Halifax County on October 29, 1970
Male Death Registration: Year: 1970 number: 6396
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006396
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital
3. PRINT NAME OF DECEASED Harvey, Jacob Lewis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
married
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 7 28, 1893
10. AGE in Years77 Months3 Days0 | hrs or mins
11. Trade or profession Laborer
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Emma
16. NAME of Father Everett Harvey
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Ida Corbett
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. J. L. Harvey
address 169 Queen Street, Truro
Relationship to deceased Wife
21. Place of burial Robie Street Cemetery, Truro
Date of burial November 2 1970
22. Undertaker Mattatall Funeral Home, Truro
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 29, 1970
CAUSE OF DEATH
(a) Recurrent chromophobe adenoma
(b)
(c)
other
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