Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Blanche Evelyn Davis death at Halifax, Halifax County on January 18, 1971
Female Death Registration: Year: 1971 number: 1199
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001199
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution V.G. Hospital
3. PRINT NAME OF DECEASED Davis, Blanche Evelyn
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
African
7. Single, Married
widowed
8. BIRTHPLACE Cambridge, Mass., U.S.A.
9. DATE OF BIRTH 9 17, 1893
10. AGE in Years77 Months4 Days1 | hrs or mins
11. Trade or profession Retired
12. Kind of industry House duties
13. Date last worked Oct 1970 14. Total years 65
15. If married name of spouse Late Morris V. Davis
16. NAME of Father George Roache
17. BIRTHPLACE Halifax, Nova Scotia
18. NAME of Mother Blanche Russell
19. BIRTHPLACE Halifax, Nova Scotia
20. Signature of Informant (Mr) Cartlandt Davis
address 2320 Maynard Street, Hfx
Relationship to deceased Son
21. Place of burial Camphill Cemetery
Date of burial January 20, 1971
22. Undertaker Cruikshank Funeral Home Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 18, 1971
CAUSE OF DEATH
(a) Septacemia
(b) ASHD - CHF
(c) Abdominal Aneurysm
other Rheumatoid arthritis Chronic Renal failure
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Note: African Nova Scotian