Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Jack Hurlbutt Edsall death at Halifax, Halifax County on November 20, 1970
Male Death Registration: Year: 1970 number: 6784
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006784
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Civic Hospital
3. PRINT NAME OF DECEASED Edsall, Jack Hurlbutt
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Bowmanville, Ontario
9. DATE OF BIRTH 10 3, 1892
10. AGE in Years78 Months1 Days17 | hrs or mins
11. Trade or profession Retired Manager
12. Kind of industry Royal Bank of Canada
13. Date last worked 1952 14. Total years 41
15. If married name of spouse Marjorie Levatte
16. NAME of Father Samuel Edsall
17. BIRTHPLACE Ontario
18. NAME of Mother Ellen Garrett
19. BIRTHPLACE Ontario
20. Signature of Informant Mrs J H Edsall
address 5885 Spring Garden Rd Halifax
Relationship to deceased Wife
21. Place of burial Camphill, Halifax
Date of burial Nov 23, 1970
22. Undertaker Halifax Funeral Home Ltd. Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 20, 1970
CAUSE OF DEATH
(a) Arteriosclerotic heart disease
(b)
(c)
other
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