Nova Scotia Archives

Nova Scotia Births, Marriages, and Deaths

David Leander Provo death at North Preston, Halifax County on May 3, 1971

Male Death Registration: Year: 1971 number: 3192

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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH

02 - 003192

1. PLACE OF DEATH   County of Halifax If in City or Town North Preston

3. PRINT NAME OF DECEASED Provo, David Leander

4. Sex

Male

5. Citizenship

Canadian

6. Racial Origin

African

7. Single, Married

single

8. BIRTHPLACE Nova Scotia

9. DATE OF BIRTH 9  9, 1962

10. AGE in  Years8  Months7  Days24 | hrs or mins

11. Trade or profession Student

12. Kind of industry at North Preston

13. Date last worked May 3/71       14. Total years 3 yrs

15. If married name of spouse

16. NAME of Father Bernard L.  Provo

17. BIRTHPLACE NS

18. NAME of Mother Alma Beals

19. BIRTHPLACE NS

20. Signature of Informant Bernard Provo

      address North Preston, Hfx. Co. NS

      Relationship to deceased Father

21. Place of burial North Preston

      Date of burial May 7, 1971

22. Undertaker Dartmouth Funeral Home

MEDICAL CERTIFICATE OF DEATH

23. DATE OF DEATH May 3, 1971

CAUSE OF DEATH

(a) Asphyxiation

(b) Drowning

(c)

other Accident: fell in water-filled hole

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