Male Death Registration: Year: 1970 number: 7512
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 007512
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Civic Hospital
3. PRINT NAME OF DECEASED Messervey, Francis
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Newfoundland
9. DATE OF BIRTH 3 14, 1890
10. AGE in Years80 Months2 Days20 | hrs or mins
11. Trade or profession Long Shoreman
12. Kind of industry
13. Date last worked 1965 14. Total years 55
15. If married name of spouse Sarah Stevens
16. NAME of Father Hiram Messervey
17. BIRTHPLACE Newfoundland
18. NAME of Mother
19. BIRTHPLACE
20. Signature of Informant Frederick Messervey
address 5534 Sebastian Place, Halifax
Relationship to deceased Son
21. Place of burial Hillcrest Memorial Cemetery, Lower Sackville
Date of burial December 28, 1970
22. Undertaker R.D. Lindsay, Halifax
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH December 26, 1970
CAUSE OF DEATH
(a) CVA cardio vascular accident
(b) Coma for past 6 months
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=492818
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