Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
James Ernest Davis death at Halifax, Halifax County on March 29, 1971
Male Death Registration: Year: 1971 number: 2495
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 002495
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Victoria General Hospital, Halifax
3. PRINT NAME OF DECEASED Davis, James Ernest
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
married
8. BIRTHPLACE Halifax
9. DATE OF BIRTH 5 19, 1903
10. AGE in Years67 Months10 Days10 | hrs or mins
11. Trade or profession Retired - truck driver
12. Kind of industry Union Coal
13. Date last worked 1967 14. Total years 35 yrs
15. If married name of spouse Doris Evelyn Davis
16. NAME of Father William Davis
17. BIRTHPLACE Brooklyn, Hants Co., Nova Scotia
18. NAME of Mother Ellen Wood
19. BIRTHPLACE Halifax, Nova Scotia
20. Signature of Informant Mr. David Davis
address Beaverbank, RR#1, Lr Sackville
Relationship to deceased brother
21. Place of burial St. John's Cemetery, Halifax
Date of burial April 1, 1971
22. Undertaker Cruikshank Funeral Home Limited
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 29, 1971
CAUSE OF DEATH
(a) Septicemia
(b) Lymphosarcoma with spread
(c)
other Pancytopenia
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