Male Death Registration: Year: 1970 number: 6462
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006462
1. PLACE OF DEATH County of Halifax If in City or Town Sheet Harbour
If death occured in a hospital or institution eastern Shore Memorial Hospital, Sheet Harbour
3. PRINT NAME OF DECEASED Davidson, Smith Gordon Alexander
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Irish
7. Single, Married
married
8. BIRTHPLACE Ecum Secum
9. DATE OF BIRTH 10 31, 1885
10. AGE in Years84 Months11 Days27 | hrs or mins
11. Trade or profession Retired
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Laura (Davidson)
16. NAME of Father James Davidson
17. BIRTHPLACE Ecum Secum
18. NAME of Mother Jemima Smith
19. BIRTHPLACE Necum Teuch
20. Signature of Informant Mrs. Joseph Shrider
address Ecum Secum
Relationship to deceased Daughter
21. Place of burial Ecum Secum
Date of burial October 30, 1970
22. Undertaker Veinotte & Sons Funeral Service Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 27, 1970
CAUSE OF DEATH
(a) Pneumonia hypostatic
(b) Carcinoma of prostate
(c) Arteriosclerotic heart disease
other Cachexia Hepatomegaly - metastatic
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=491769
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