Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
Havelock McCully death at Lewis Lake, Halifax County on April 26, 1971
Male Death Registration: Year: 1971 number: 3187
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003187
1. PLACE OF DEATH County of Halifax If in City or Town Lewis Lake
3. PRINT NAME OF DECEASED McCully, Havelock
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
Scottish
7. Single, Married
widowed
8. BIRTHPLACE Ward's Brook
9. DATE OF BIRTH 8 11, 1880
10. AGE in Years90 Months8 Days15 | hrs or mins
11. Trade or profession Carpenter
12. Kind of industry
13. Date last worked 1955 14. Total years
15. If married name of spouse Effie Parsons (deceased)
16. NAME of Father Emmerson McCully
17. BIRTHPLACE NS
18. NAME of Mother Emmeline Ayer
19. BIRTHPLACE NS
20. Signature of Informant Ruth Zwicker
address Lewis Lake, Halifax Co. NS
Relationship to deceased daughter
21. Place of burial Ward's Brook, NS
Date of burial April 29, 1971
22. Undertaker S W Smith & Son Ltd, Parrsboro, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH April 26, 1971
CAUSE OF DEATH
(a) Bronchopneumonia
(b) Emphysema
(c)
other Arteriosclerotic Heart Disease Peripheral Vascular Disease
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