Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
David Otis Hayes death at Middleton, Annapolis County on November 21, 1970
Male Death Registration: Year: 1970 number: 7063
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007063
1. PLACE OF DEATH County of Annapolis If in City or Town Middleton
If death occured in a hospital or institution Soldiers Memorial Hospital
3. PRINT NAME OF DECEASED Hayes, David Otis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Somerset
9. DATE OF BIRTH 9 12, 1898
10. AGE in Years72 Months2 Days9 | hrs or mins
11. Trade or profession retired
12. Kind of industry Maintenance Inspector
13. Date last worked 1965 14. Total years 45
15. If married name of spouse Marilyn E. Hayes
16. NAME of Father Robert Hayes
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Jennie Cochrane
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. D. O. Hayes
address 471 Main Street, Middleton
Relationship to deceased Wife
21. Place of burial Berwick, Kings Co.
Date of burial Nov. 25, 1970
22. Undertaker Frederick H. Roop Funeral Service, Middleton
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH November 21, 1970
CAUSE OF DEATH
(a) Acute myocardial infarction
(b) Pneumonitis
(c) Chronic lung fibrosis
other
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