Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

John Howard Everson death at Middleton, Annapolis County on February 9, 1971

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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