Male Death Registration: Year: 1971 number: 1751
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 001751
1. PLACE OF DEATH County of Cumberland If in City or Town Parrsboro
If death occured in a hospital or institution South Cumberland Memorial Hospital, Parrsboro, NS
3. PRINT NAME OF DECEASED Davis, Floyd Fredrick
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Springhill
9. DATE OF BIRTH 2 11, 1928
10. AGE in Years42 Months10 Days29 | hrs or mins
11. Trade or profession
12. Kind of industry Machine Operator
13. Date last worked 1968 14. Total years 10
15. If married name of spouse Viola Willigar Davis
16. NAME of Father Daniel Davis
17. BIRTHPLACE Springhill, NS
18. NAME of Mother Rose Smith
19. BIRTHPLACE NS
20. Signature of Informant Mrs Floyd Davis
address Parrsboro, NS
Relationship to deceased Wife
21. Place of burial Parrsboro, NS
Date of burial January 11, 1971
22. Undertaker SW Smith & Son Ltd, Parrsboro, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH January 9, 1971
CAUSE OF DEATH
(a) Chronic Pyelonephritis
(b) Uremia
(c)
other
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=493829
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