Male Death Registration: Year: 1971 number: 2120
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002120
1. PLACE OF DEATH County of Annapolis If in City or Town Middleton
If death occured in a hospital or institution Soldiers Memorial Hospital
3. PRINT NAME OF DECEASED Everson, John Howard
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
single
8. BIRTHPLACE Centrelea, Anna. County Nova Scotia
9. DATE OF BIRTH 2 2, 1889
10. AGE in Years82 Months0 Days7 | hrs or mins
11. Trade or profession
12. Kind of industry Farmer
13. Date last worked 1960 14. Total years
15. If married name of spouse
16. NAME of Father Moses Everson.
17. BIRTHPLACE England.
18. NAME of Mother Nellie Wallace.
19. BIRTHPLACE Nova Scotia
20. Signature of Informant Mrs. Harry V. Lantz.
address Centrelea, Anna. Co. N.S.
Relationship to deceased Niece.
21. Place of burial Centrelea. N.S.
Date of burial Feb. 12, 1971.
22. Undertaker Bridgetown Funeral Home.
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH February 9, 1971
CAUSE OF DEATH
(a) Diffuse Cerebral Scelerosis
(b) Senile Decay
(c)
other Bed Sores
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Nova Scotia Archives — https://archives.novascotia.ca/vital-statistics/death/?ID=494197
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