Female Death Registration: Year: 1971 number: 1412
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001412
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution 2360 Newton Ave.,
3. PRINT NAME OF DECEASED Davis, Bessie Ervin
4. Sex
Female
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Nova Scotia
9. DATE OF BIRTH 1 24, 1905
10. AGE in Years66 Months Days3 | hrs or mins
11. Trade or profession H'Wife
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse Earl Davis - deceased
16. NAME of Father Sidney Taylor
17. BIRTHPLACE Nova Scotia
18. NAME of Mother Sarah Ervin
19. BIRTHPLACE Nova Scotia
20. Signature of Informant John Taylor
address Stewiacke
Relationship to deceased Brother
21. Place of burial Stewiacke East
Date of burial January 30, 1971
22. Undertaker Ettinger Funeral Service Ltd.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 27, 1971
CAUSE OF DEATH
(a) Pulmonary embolism
(b)
(c)
other Diabetes Mellitus
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493490
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