Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Charles Alexander Davidson death at Antigonish, Antigonish County on January 8, 1971
Male Death Registration: Year: 1971 number: 1081
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001081
1. PLACE OF DEATH County of Antigonish If in City or Town Antigonish
If death occured in a hospital or institution St. Martha's Hospital
3. PRINT NAME OF DECEASED Davidson, Charles Alexander
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Howie, Alberta
9. DATE OF BIRTH 7 26, 1919
10. AGE in Years51 Months5 Days13 | hrs or mins
11. Trade or profession Crane Operator
12. Kind of industry
13. Date last worked Aug. 28/70 14. Total years 15
15. If married name of spouse Bernice Wood Davidson
16. NAME of Father Blair Davidson
17. BIRTHPLACE Amherst
18. NAME of Mother Myrtle Coates
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Bernice Davidson
address Port Hawkesbury
Relationship to deceased Wife
21. Place of burial Amherst Cemetery Co., Amherst
Date of burial January 11, 1971
22. Undertaker Furlong's Funeral Home Ltd., Amherst
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 8, 1971
CAUSE OF DEATH
(a) Carcinomatosis
(b) Carcinoma of Pancreas
(c)
other
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