Male Death Registration: Year: 1970 number: 6966
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 006966
1. PLACE OF DEATH County of Cumberland If in City or Town Amherst
If death occured in a hospital or institution at home
3. PRINT NAME OF DECEASED Davis, John Albert
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Amherst
9. DATE OF BIRTH 6 25, 1953
10. AGE in Years17 Months3 Days28 | hrs or mins
11. Trade or profession Student
12. Kind of industry
13. Date last worked to date 14. Total years 12
15. If married name of spouse
16. NAME of Father Albert E Davis
17. BIRTHPLACE Amherst
18. NAME of Mother Beatrice Stiles
19. BIRTHPLACE Nappan
20. Signature of Informant Albert Edward Davis
address 149 South Albion St, Amherst
Relationship to deceased Father
21. Place of burial Amherst Cemetery Co, Amherst
Date of burial Oct 26 1970
22. Undertaker Furlong's Funeral Home Ltd, Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH October 23, 1970
CAUSE OF DEATH
(a) waiting results of post mortem
(b)
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492273
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