Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
David John House death at Halifax, Halifax County on November 7, 1970
Male Death Registration: Year: 1970 number: 6532
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006532
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Izaak Walton Killam Hospital for Children (IWK)
3. PRINT NAME OF DECEASED House, David John
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 2 2, 1968
10. AGE in Years2 Months9 Days5 | 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
17. BIRTHPLACE
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Medical Records at Children's Hospital
address South St, Halifax
Relationship to deceased
21. Place of burial Hawks Bay, Newfoundland
Date of burial Nov 12, 1970
22. Undertaker Lindsay's Funeral Home
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 7, 1970
CAUSE OF DEATH
(a) Congestive Heart Failure
(b) Cyanotic Congestive Heart Disease
(c)
other
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