Nova Scotia Archives
Nova Scotia Births, Marriages, and Deaths
John Wallace Stevens death at Halifax, Halifax County on March 30, 1971
Male Death Registration: Year: 1971 number: 3237
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PROVINCE OF NOVA SCOTIA — REGISTRATION OF DEATH
02 - 003237
1. PLACE OF DEATH County of Halifax If in City or Town Halifax
If death occured in a hospital or institution Halifax Civic Hospital
3. PRINT NAME OF DECEASED Stevens, John Wallace
4. Sex
Male
5. Citizenship
Canadian
6. Racial Origin
English
7. Single, Married
widowed
8. BIRTHPLACE Campbellton, New Brunswick
9. DATE OF BIRTH 5 23, 1896
10. AGE in Years74 Months10 Days7 | hrs or mins
11. Trade or profession Retired (illegible)
12. Kind of industry
13. Date last worked 14. Total years
15. If married name of spouse
16. NAME of Father Joseph Stevens
17. BIRTHPLACE NB
18. NAME of Mother Ellen Cassidy
19. BIRTHPLACE NB
20. Signature of Informant Mr Stevens
address Box 172 Campbellton, NB
Relationship to deceased
21. Place of burial Robie St. Cemetery, Truro
Date of burial Apr 2 1971
22. Undertaker P B Carmody, Truro, NS
MEDICAL CERTIFICATE OF DEATH
23. DATE OF DEATH March 30, 1971
CAUSE OF DEATH
(a) Pulmonary Edema
(b) Chronic Congestive Heart failure
(c)
other
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